Individual
MS. EMILY LANE KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, ARNP
Contact information
Practice address
4400 37TH AVE S, SEATTLE, WA 98118-1609
(206) 461-6957
(206) 461-7810
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95021864
CA
163W00000X
Registered Nurse
RN.349120
OH
363LF0000X
Family Nurse Practitioner
95000144
CA
363LF0000X
Family Nurse Practitioner
Primary
AP61105809
WA
363LF0000X
Family Nurse Practitioner
COA.11840-NP
OH
Other
Enumeration date
08/09/2010
Last updated
01/04/2021
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