Most Relevant Information
Provider Data
NPI Number: | 1003294828 |
Provider Name: | KIMBERLY MICHELLE FLAKE CNM |
Entity Type: | Individual |
Taxonomy Code: | 363LX0001X |
Specialty: | Nurse Practitioner |
License Number: | AP7625 |
Most Important Dates
Enumeration Date: | 05/13/2015 |
Last Updated: | 05/13/2015 |
Provider Practice Location
1020 S ROLES DR
GILBERT
AZ
852968605
Practice Location Phone/Fax
Phone: | 4802161837 |
Fax: |
Provider Mailing Location
1020 S ROLES DR
GILBERT
AZ
852968605
Provider Mailing Phone/Fax
Phone: | 4802161837 |
Fax: |