Individual
KIMBERLY HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1316 WALL ST STE 2D, EVERETT, WA 98201-3942
(425) 340-3500
(425) 642-0022
Mailing address
1316 WALL ST STE 2D, EVERETT, WA 98201-3942
(425) 340-3500
(425) 642-0022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61353947
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP70061772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290750
—
WA
Enumeration date
06/24/2024
Last updated
04/23/2026
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