Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | APRN11000426 | FL |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 0024172069 | VA |
NPI | 1023412228 |
---|---|
Provider Name | Mrs. Kimberly Sperber |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2014 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102339700 | (05) | FL |