NPI 1013359934

Kimberly Randall Booker, CNMWHNPBC

Practitioner Advanced Practice Midwife Reidsville, NC

Practice location

Address: 520 Maple Ave Suite C, Reidsville, NC 27320-4652
Phone: (336) 342-6063
Fax: (336) 342-6066
Mailing address: 3871 Vance Street Ext, Reidsville, NC 27320-8873

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 522 (NC)

Other Advanced Practice Midwife providers in North Carolina →

Women's Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence BOO104379455 (NC)

Other Nurse Practitioner providers in North Carolina →

Registry record

NPI: 1013359934
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2013
Record last updated: 11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.