Provider Demographics
NPI:1558526483
Name:SAVA, KIMBERLY ANNE (NP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANNE
Last Name:SAVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:820 MONTGOMERY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-4200
Mailing Address - Country:US
Mailing Address - Phone:940-549-7741
Mailing Address - Fax:940-549-6265
Practice Address - Street 1:820 MONTGOMERY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4200
Practice Address - Country:US
Practice Address - Phone:940-549-7741
Practice Address - Fax:940-549-6265
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX251695363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner