Organization
SPECTRUM CARE, PLLC
Active
Other names
Kimmer Collison-Ris FNP-BC, MS CAM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY 'KIMMER' VERLYNN COLLISON-RIS MSN FNP-BC WOCN CAM (OWNER/PROVIDER)
42521041187
Entity
Organization
Contact information
Practice address
16825 48TH AVE W, 117, LYNNWOOD, WA 98037-6401
(425) 210-4187
(425) 361-1704
Mailing address
5908 149TH PL SW, EDMONDS, WA 98026
(425) 210-4187
(425) 361-1704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006553
WA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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