Provider Demographics
NPI:1043182538
Name:SOLER, KIMBERLY MARIE (RN QP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MARIE
Last Name:SOLER
Suffix:
Gender:F
Credentials:RN QP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 WATERS DR
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1163
Mailing Address - Country:US
Mailing Address - Phone:612-871-3700
Mailing Address - Fax:612-871-3705
Practice Address - Street 1:2305 WATERS DR
Practice Address - Street 2:
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-1163
Practice Address - Country:US
Practice Address - Phone:612-871-3700
Practice Address - Fax:612-871-3705
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1576630163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health