KIMBERLY-ANN AGCOPRA RN, PHN, BSN
NPI 1174895817
Registered Nurse - Case Management in Marysville, CA
Active since January 26, 2012
5730 PACKARD AVE, SUITE 100, MARYSVILLE, CA 95901(530) 749-6366(530) 749-6397 Get Directions Write a Review
About Kimberly-ann Agcopra Rn, Phn, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY-ANN AGCOPRA RN, PHN, BSN (NPI 1174895817) is an individual case management provider in Marysville, California, licensed in California (807679) and active in the NPI registry since January 2012.
NPPES Registry Identity
NPI1174895817
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameKIMBERLY-ANN AGCOPRACredential: RN, PHN, BSN
Location Address5730 PACKARD AVE, SUITE 100Marysville, CA 95901-7118
Mailing Address5730 Packard Ave, Suite 100Marysville, CA 95901-7118 · (530) 749-6366 · Fax (530) 749-6397
Phone(530) 749-6366
Fax(530) 749-6397
Sole ProprietorYes
Enumeration DateJanuary 26, 2012
✔ NPI 1174895817 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CA · 807679
5730 PACKARD AVE, Marysville, CA 95901
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Public Health or Welfare
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Public Health or Welfare
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Registered Nurse (Case Management)
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Registered Nurse (Case Management)
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Registered Nurse
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Registered Nurse (Case Management)
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174895817, enumerated as an "individual" on January 26, 2012.
The provider is located at 5730 PACKARD AVE SUITE 100 MARYSVILLE, CA 95901 and the phone number is (530) 749-6366.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.