Provider Demographics
NPI:1225435696
Name:GHER, KIMBERLY ANN (MSN, APRN, CNP)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ANN
Last Name:GHER
Suffix:
Gender:F
Credentials:MSN, APRN, CNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:WEISSERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, CNP
Mailing Address - Street 1:14650 FOLIAGE AVE
Mailing Address - Street 2:APT 11202
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6190
Mailing Address - Country:US
Mailing Address - Phone:618-304-9752
Mailing Address - Fax:
Practice Address - Street 1:2000 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-1498
Practice Address - Country:US
Practice Address - Phone:507-646-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209012234363LF0000X
MO2014039299363LF0000X
FLARNP 9404799363LF0000X
MNCNP5024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily