Individual
KIMBERLY SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9909 168TH ST E STE 102, PUYALLUP, WA 98375-2513
(253) 445-3000
Mailing address
9909 168TH ST E STE 102, PUYALLUP, WA 98375-2513
(253) 445-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61570680
WA
Other
Enumeration date
02/21/2025
Last updated
02/23/2025
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