Kimberly Susanne Craven
Individual provider Active NPI Registered Nurse · Northampton, PA
NPI 1124351861 · NPPES record last updated Sep 14, 2009
Key facts
- NPI
- 1124351861
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN534430 (PA)
- Practice address
- 615 Washington Avenue
Northampton, PA 18067-1867 - Phone
- (484) 554-0447
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN534430 | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN534430 | PA | Yes |
Addresses
Primary practice location
615 Washington Avenue
Northampton, PA 18067-1867
Mailing address
615 Washington Avenue
Northampton, PA 18067-1867
Phone (484) 554-0447
Other providers in Northampton, PA
- Heavan Coard
- Adam Cobb
- Compassionate Hearts and Lights Company
- William Edward Cooper III
- Crafting Smile
- Mya Kylene Cruz
- Samantha Cutting
- Daniel Raymond Deblass
- Denine Ann Deily
- Anita Elizabeth Deutsch
All providers in Northampton, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.