IndividualActive
Kimberly Spivack, MSN
NPI 1376357814 · Acute Care Nurse Practitioner · Glenwood, MN
Provider details
- NPI number
- 1376357814
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- License
- 12514 (MN)
Mailing address
1240 W Main St
Paynesville, MN 56362-1040
Registry dates
- Enumerated
- 2025-02-05
- Last updated
- 2025-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.