Provider Demographics
NPI:1023666971
Name:ENGELHARDT, KIMBERLY (MSN, APRN, ANP)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:ENGELHARDT
Suffix:
Gender:F
Credentials:MSN, APRN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 LITTLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1822
Mailing Address - Country:US
Mailing Address - Phone:615-504-7343
Mailing Address - Fax:
Practice Address - Street 1:501 UNION ST STE 545
Practice Address - Street 2:PMB 820062
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1876
Practice Address - Country:US
Practice Address - Phone:615-504-7343
Practice Address - Fax:800-507-6736
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN140056163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery