MS. LAUREL SUSAN KIBLER (NPI# 1972847374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972847374 |
Entity Type | Individual |
Full Name | MS. LAUREL SUSAN KIBLER |
Credential | FNP |
Practice Address |
900 W Scott St Willcox AZ 85643-1017 |
Mailing Address |
901 West Rex Allen Drive Willcox AZ 85643 |
Practice Telephone | 5203844421 |
Practice Fax Number | 5203844645 |
Mailing Telephone | 5203843541 |
Mailing Fax Number | 5203844553 |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4754 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
900 W SCOTT ST |
City | WILLCOX |
State | AZ |
Zip Code | 85643-1017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023123734 | Mark A. Mcmanigle | Family Medicine | 900 W Scott St, Willcox, AZ 85643-1017 | 2006-08-20 |
1710587019 | Kristian Victoria Abarca | Nurse Practitioner | 900 W Scott St, Willcox, AZ 85643-1017 | 2020-10-27 |
1427456706 | Sulphur Springs Medical Center | Podiatrist | 900 W Scott St, Willcox, AZ 85643-1017 | 2014-12-18 |
1104226356 | Akdhc, LLC | Internal Medicine | 900 W Scott St, Willcox, AZ 85643-1017 | 2014-08-25 |
1306062781 | Elizabeth E Kuhn | Nurse Practitioner | 900 W Scott St, Willcox, AZ 85643-1017 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
1891097333 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 114 S. Arizona Avenue, & 116, Willcox, AZ 85643 | 2010-12-02 |
1528392545 | Willcox Pharmacy, LLC | Pharmacy | 902 W Rex Allen Drive, Suite A, Willcox, AZ 85643 | 2009-09-23 |
1104977990 | Ronald J Nelson | Psychologist | 480 N. Bisbee Ave, Willcox, AZ 85643 | 2007-01-16 |
1144370149 | Bashas Inc | Pharmacy | 900 W Rex Allen Dr, Willcox, AZ 85643 | 2007-01-11 |
1366530859 | Ellen Bennett | Marriage & Family Therapist | 404 Rex Allen Drive, Willcox, AZ 85643 | 2006-10-10 |
1780610642 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 780 Rex Allen Dr., Willcox, AZ 85643 | 2006-06-23 |
1366440083 | Charles Wm. Leighton, Jr. Hospice, Inc. | Hospice Care, Community Based | 524 West Maley Place, Willcox, AZ 85643 | 2005-07-07 |
1427283175 | Janet Gayle Perry | Registered Nurse | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
1881829539 | Nicholas Anthony Quaglietta | Pharmacist | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
Find all providers in zip 85643 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558329862 | Amanda Dawn Bennett | Nurse Practitioner | 801 W Rex Allen Dr, Willcox, AZ 85643-1129 | 2006-05-03 |
1710587019 | Kristian Victoria Abarca | Nurse Practitioner | 900 W Scott St, Willcox, AZ 85643-1017 | 2020-10-27 |
1679790174 | Frances Weaver Grill | Nurse Practitioner | 801 W Rex Allen Dr, Willcox, AZ 85643-1129 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.