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Contact Information

KIMBERLY R BOOKER, CNM, WHNP-BC
520 MAPLE AVE
SUITE C
REIDSVILLE, NC27320-4652
 Phone: 336-342-6063
 Fax: 336-342-6066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY R BOOKER · (Female)

NPI # 1013359934
Status Active
Credentials CNM, WHNP-BC
Entity Individual
Enumeration date 07/19/2013
Last updated 08/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 522
  • NC License # BOO104379455
  • NC Medicaid 1013359934
  • Other 1799G BCBS
  • Other Q44206A MEDICARE INDIVIDUAL PTAN LINKED TO FACULTY PRACTICE GROUP
Hospital affiliation(s)
  • MOSES H CONE MEMORIAL HOSPITAL THE - (Acute Care)
    1200 N ELM ST
    GREENSBORO, NC 27401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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