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Contact Information

KIMBERLY A BUMBERA, NURSE PRACTITIONER
187 MARION AVE
PLANTSVILLE, CT06479-1442
 Phone: 860-919-9560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

163WG0600X
Indicates primary specialty

NPI Profile & details for KIMBERLY A BUMBERA · (Female)

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
  • CT License # 8176
  • CT License # 89547
Hospital affiliation(s) Not Available
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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