NPI Profile for KIMBERLY A BUMBERA in PLANTSVILLE, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Gerontology |
163WG0600X |
| NPI Number | 1164085619 |
|
| Status | Active | |
| Credentials | NURSE PRACTITIONER | |
| Entity | Individual | |
| Enumeration date | 04/19/2019 | |
| Last updated | 10/16/2025 - About 8 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLY A BUMBERA
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