Individual
KIMBERLY IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
(360) 754-6429
Mailing address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
(360) 754-6429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9616095
—
WA
Enumeration date
11/01/2006
Last updated
04/03/2012
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