IndividualActive
Kimberley Marcontell
NPI 1447960919 · Emergency Registered Nurse · Ft Defiance, AZ
Provider details
- NPI number
- 1447960919
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 822175 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
Corner Route 7 and Route 12
Ft Defiance, AZ 86504
Phone: (928) 729-8600
Approximate (ZIP-level) locationGet directions
Mailing address
2812 Country Club Dr
Orange, TX 77630-2145
Registry dates
- Enumerated
- 2022-11-25
- Last updated
- 2022-11-25
- Certified
- 2022-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.