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Kimberly Extine, NP
Family Nurse Practitioner in Monroe, Louisiana
NPI 1851525687

Kimberly Extine is a Family Nurse Practitioner based in Monroe, LA and is specialized in Family. Kimberly Extine practices in Monroe, LA and has the professional credentials of NP. The NPI Number for Kimberly Extine is 1851525687 and holds a License No. 201192 (Louisiana).

The current practice location address for Kimberly Extine is 2516 Broadmoor Blvd Ste 1D, Monroe, LA and can be reached out via phone at 318-807-4746 and via fax at 318-812-6034.

Location: 2516 Broadmoor Blvd Ste 1D, Monroe, LA, 71201-7363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851525687
Provider Name
Kimberly Extine
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2516 Broadmoor Blvd Ste 1D, Monroe, LA, 71201-7363
Phone Number
318-807-4746
Fax Number
318-812-6034
Provider Enumeration Date
05/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2486055 05 LA
institution
Provider Business Practice Location Address Details
Address
2516 Broadmoor Blvd Ste 1D
City
Monroe
State
Louisiana
Zip
71201
Phone Number
318-807-4746
Fax Number
318-812-6034
person
Provider Business Mailing Address Details
Address
2516 Broadmoor Blvd Ste 1D
City
Monroe
State
Louisiana
Zip
71201
Phone Number
318-807-4746
Fax Number
318-812-6034
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
201192 (Louisiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201192 (Louisiana)
Definition
Definition to come...
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