KIMBERLY PRINCESS RADER LPN - NPI 1083834907 - Licensed Practical Nurse in Dade City, FL

Q: What is Kimberly Rader's NPI number?

The NPI number for Kimberly Rader is 1083834907. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Kimberly Rader's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Rader was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly Princess Rader Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY PRINCESS RADER LPN (NPI 1083834907) is an individual licensed practical nurse in Dade City, Florida, licensed in Florida (PN1059411) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1083834907

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMBERLY PRINCESS RADERCredential: LPN

Location Address37944 CHURCH AVEDade City, FL 33525

Mailing AddressPo Box 232Dade City, FL 33526 · (352) 518-2000 · Fax (352) 567-5193

Phone(352) 518-2000

Fax(352) 567-5193

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083834907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN1059411

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

37944 CHURCH AVE, Dade City, FL 33525

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