Kimberley Ellen Cleaves
Nurse Practitioner - Neonatal
1500 S Main St
Fort Worth
, Texas 76104-4917
Kimberley Ellen Cleaves
Nurse Practitioner - Neonatal
1500 S Main St
Fort Worth
, Texas 76104-4917
(682) 509-5800
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Kimberley Ellen Cleaves
- 3301 Matlock Rd
- Arlington, TX
- Zip : 76015-2908
- Phone : (682) 509-5800
Second Address
- Kimberley Ellen Cleaves
- 1500 S Main St
- Fort Worth, TX
- Zip : 76104-4917
- Phone : (817) 702-1166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | AP137226 | TX |
National Provider Identifier
| NPI | 1023515046 |
|---|---|
| Provider Name | Kimberley Ellen Cleaves |
| First Address | Arlington, TX 76015-2908 |
| Second Address | Fort Worth, TX 76104-4917 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2018 |
| Last Update Date | 04/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.