Individual
MRS. KIMBERLY ANN TERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
(206) 520-3186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006401
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5199TE
BLUE SHIELD #
WA
05
—
9656521
—
WA
01
—
RNA0009
ALASKA DSHS
WA
Enumeration date
09/07/2006
Last updated
06/25/2021
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