Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Nolan

Individual provider Family Nurse Practitioner · NPI 1053853770

Kimberly Nolan is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
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Practice location Address checks out

100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3450
Phone: (610) 642-3796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP015384 (PA)

Record details

NPI number1053853770
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 11, 2016
Last updated in NPPESNovember 11, 2016
Mailing address100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wynnewood