Kimberly A Washburn (NPI# 1639315948, PAC ID# 0941362628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639315948 |
| PAC ID by PECOS | 0941362628 |
| Professional Enrollment ID | I20081215000752 |
| Full Name | Kimberly A Washburn |
| Organization Legal Name | CONNELLY CARE PLLC |
| Address |
1401 Florida St Holbrook AZ 86025-2218 |
| Phone Number | 9289327526 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012914203 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030062 | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1401 Florida St, Holbrook, AZ 86025-2218 | 9289327526 | CONNELLY CARE PLLC |
| Organization Legal Name | CONNELLY CARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel D Evans | Obstetrics/gynecology | Connelly Care Pllc | 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 |
| Patrick W Connelly | Obstetrics/gynecology | Connelly Care Pllc | 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 |
| Street Address |
1401 FLORIDA ST |
| City | HOLBROOK |
| State | AZ |
| Zip | 86025-2218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patti W Mugo | Family Medicine | North Country Healthcare Inc | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 |
| Ronald Lance Mcgee | Chiropractic | 2120 Navajo Blvd, Suite A, Holbrook, AZ 86025-1830 | |
| Mathew D Moore | Chiropractic | 500 E Florida St, Holbrook, AZ 86025-2724 | |
| Andrew L Maestas | Internal Medicine | 500 E Iowa St, Holbrook, AZ 86025-2750 | |
| Stratton D Solomon | Optometry | Stuart Eye Centre | 421 E Iowa St, Holbrook, AZ 86025-2770 |
| Ryan Craig Stuart | Optometry | Stuart Eye Centre | 421 E Iowa St, Holbrook, AZ 86025-2770 |
| Hydie J Sobel | Psychiatry | Changepoint Integrated Health | 103 N 1st Ave, Holbrook, AZ 86025-2901 |
| Jason L Austin | Chiropractic | 163 W Hopi Dr, Holbrook, AZ 86025-2945 |
| City | HOLBROOK |
| Zip Code | 86025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOLBROOK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly A Washburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.