Individual
KIMBERLY A NOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
62 W 7TH AVE STE 450, SPOKANE, WA 99204-2321
(509) 455-8820
(509) 838-4978
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00114221
WA
363L00000X
Nurse Practitioner
Primary
AP30005685
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805843200
—
ID
05
—
9628207
—
WA
Enumeration date
11/08/2006
Last updated
03/20/2026
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