Individual
KIMBERLEE SUSAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN,RN
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60474538
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60474538
WA
Other
Enumeration date
09/13/2018
Last updated
02/11/2026
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