| Kimberly Lynn Lanholm, MSN, APN, FNP-C | |
|
6981 North Park Drive, Suite 200a, Pennsauken, NJ 08109-4201 | |
| (856) 663-4949 | |
| (856) 663-6076 |
| Full Name | Kimberly Lynn Lanholm |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6981 North Park Drive, Suite 200a, Pennsauken, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235951849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15188000 (New Jersey) | Primary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Lynn Lanholm, MSN, APN, FNP-C 301 Lippincott Drive, Suite 410, Marlton, NJ 08053 Ph: (856) 355-0340 | Kimberly Lynn Lanholm, MSN, APN, FNP-C 6981 North Park Drive, Suite 200a, Pennsauken, NJ 08109-4201 Ph: (856) 663-4949 |
Shevon Borde Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 John Tipton Blvd, Pennsauken, NJ 08110 Phone: 215-436-7842 | |
Cynthia Carter Alston, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5101 N Park Dr, Pennsauken, NJ 08109 Phone: 856-665-8844 Fax: 856-665-1888 | |
Lauren Mcneal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6565 Walnut Ave, Pennsauken, NJ 08109 Phone: 609-276-5039 | |
Ramona Hernandez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6705 Park Ave, Pennsauken, NJ 08109 Phone: 856-662-0017 | |
Christine Kelly, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2475 Mcclellan Ave, Pennsauken, NJ 08109 Phone: 856-675-3355 | |
Candice Ogline, RN, APN,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2475 Mcclellan Ave, Pennsauken, NJ 08109 Phone: 856-675-3660 Fax: 856-675-3659 |