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Ms. Kim Therese Little, FNP
Family Nurse Practitioner in Salida, California
NPI 1457079337

Kim Therese Little is a Family Nurse Practitioner based in Manteca, CA and is specialized in Family. Kim Therese Little practices in Salida, CA and has the professional credentials of FNP. The NPI Number for Kim Therese Little is 1457079337 and holds a License No. 95021616 (California).

The current practice location address for Kim Therese Little is 5330 Pirrone Rd, Salida, CA and can be reached out via phone at 209-846-9488.

Location: 5330 Pirrone Rd, Salida, CA, 95337-8985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457079337
Provider Name
Kim Therese Little
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5330 Pirrone Rd, Salida, CA, 95337-8985
Phone Number
209-846-9488
Fax Number
Provider Enumeration Date
08/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95021616 01 CA FNP LICENSE
institution
Provider Business Practice Location Address Details
Address
5330 Pirrone Rd
City
Salida
State
California
Zip
95368-8204
Phone Number
209-846-9488
Fax Number
person
Provider Business Mailing Address Details
Address
5330 Pirrone Rd
City
Salida
State
California
Zip
95368-8204
Phone Number
209-846-9488
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95021616 (California)
Definition
Definition to come...
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