Individual ProviderSusan Marie KimberlingRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1200PECOS EnrollmentBased on the most recent information from CMS, provider Susan Marie Kimberling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417182775Provider TypeIndividualFull NameKimberling, Susan MarieCredentialRNGenderFemaleSole ProprietorNoEnumeration Date5/15/2009Last Updated5/15/2009Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1200Fax(602) 263-1631Mailing LocationMailing AddressPO Box 31001-0698, Pasadena, CA 91110-0001Phone(602) 263-1200Fax(602) 263-1631Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN132650ArizonaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense552242California