Provider Demographics
NPI:1598940488
Name:BIEVER, KIMBERLIE A (ANP-BC, ACNP-BC,CCNS)
Entity type:Individual
Prefix:
First Name:KIMBERLIE
Middle Name:A
Last Name:BIEVER
Suffix:
Gender:F
Credentials:ANP-BC, ACNP-BC,CCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FM 3351 S STE 135
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5730
Mailing Address - Country:US
Mailing Address - Phone:830-336-4330
Mailing Address - Fax:830-336-3325
Practice Address - Street 1:2981 GARDEN AVE
Practice Address - Street 2:
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-7635
Practice Address - Country:US
Practice Address - Phone:210-916-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1134234363LA2100X, 363LA2200X
VA0024164612363LA2200X
TX962898163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine