Provider Demographics
NPI:1760147367
Name:HUE-LAING, KIMBERLY ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:HUE-LAING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:880 NW 13TH STREET
Mailing Address - Street 2:SUITE 400 4TH FLOOR
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2342
Mailing Address - Country:US
Mailing Address - Phone:561-297-4814
Mailing Address - Fax:561-297-4828
Practice Address - Street 1:880 NW 13TH ST
Practice Address - Street 2:SUITE 400 4TH FLOR
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2342
Practice Address - Country:US
Practice Address - Phone:561-297-4814
Practice Address - Fax:561-297-4828
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11016490363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner