Individual
MS. KIMBERLEY ANN EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1763
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1763
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30005874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036050
—
WA
Enumeration date
06/25/2006
Last updated
04/30/2019
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