Provider Demographics
NPI:1598501124
Name:MEIDINGER, KIMBERLY DAWN (FNP-C)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DAWN
Last Name:MEIDINGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 SCARBOROUGH DR STE 370
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7519
Mailing Address - Country:US
Mailing Address - Phone:719-358-8270
Mailing Address - Fax:719-358-8299
Practice Address - Street 1:8540 SCARBOROUGH DR STE 370
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7519
Practice Address - Country:US
Practice Address - Phone:719-358-8270
Practice Address - Fax:719-358-8299
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999673-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily