Ms Kimberly Brooke Mccann, MSN, CPNP-PC, CNS - Nurse Practitioner in Boulder Creek, CA

Ms Kimberly Brooke Mccann, MSN, CPNP-PC, CNS is a Nurse Practitioner - Pediatrics based in Boulder Creek, California. Ms Kimberly Brooke Mccann is licensed to practice in California (license number 95007438) and her current practice location is 130 Riverside Dr, Boulder Creek, California. She can be reached at her office (for appointments etc.) via phone at (310) 780-8723.

NPI number for Ms Kimberly Brooke Mccann is 1053821553 and her current mailing address is 3131 Bagley Ave Apt 7, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053821553.

Contact Information

Ms Kimberly Brooke Mccann, MSN, CPNP-PC, CNS
130 Riverside Dr,
Boulder Creek, CA 95006-9432
(310) 780-8723
Not Available



Provider's Profile

Full NameMs Kimberly Brooke Mccann
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location130 Riverside Dr, Boulder Creek, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053821553
  • Provider Enumeration Date: 10/10/2017
  • Last Update Date: 10/06/2021

Medical Identifiers

Medical identifiers for Ms Kimberly Brooke Mccann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053821553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0200XClinical Nurse Specialist - Pediatrics 4636 (California)Secondary
363LP0200XNurse Practitioner - Pediatrics 95007438 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly Brooke Mccann is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kimberly Brooke Mccann, MSN, CPNP-PC, CNS
3131 Bagley Ave Apt 7,
Los Angeles, CA 90034-2931

Ph: (310) 780-8723
Ms Kimberly Brooke Mccann, MSN, CPNP-PC, CNS
130 Riverside Dr,
Boulder Creek, CA 95006-9432

Ph: (310) 780-8723

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Nurse Practitioner Nurses in Boulder Creek, CA


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