Provider Demographics
NPI:1902915630
Name:RIEMER, KIMBERLY FLOWERS (ACNP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:FLOWERS
Last Name:RIEMER
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:DAWN
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP
Mailing Address - Street 1:3000 CENTER GREEN DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2364
Mailing Address - Country:US
Mailing Address - Phone:303-544-1200
Mailing Address - Fax:303-544-0086
Practice Address - Street 1:3000 CENTER GREEN DR
Practice Address - Street 2:SUITE 210
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2364
Practice Address - Country:US
Practice Address - Phone:303-544-1200
Practice Address - Fax:303-544-0086
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO123086363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care