Kimberly M Favart, RN

Individual provider Active NPI Registered Nurse · Rindge, NH

NPI 1306965041 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306965041
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
230261 (MA)
Practice address
420 Robbins Rd
Rindge, NH 03461-5473
Phone
(603) 899-6496
Fax
(603) 899-3014
NPI assigned
Mar 27, 2007
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
230261MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 230261 MA Yes

Addresses

Primary practice location

420 Robbins Rd
Rindge, NH 03461-5473

Mailing address

420 Robbins Rd
Rindge, NH 03461-5473
Phone (603) 899-6496

Other providers in Rindge, NH

All providers in Rindge, NH · Registered Nurse in New Hampshire

Sources for this page

Verify at the official NPI Registry.