Individual
MARY W KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-4098
(800) 813-2000
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-4098
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60502306
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61477341
WA
Other
Enumeration date
05/13/2021
Last updated
09/25/2023
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