Individual
KIMBERLEE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15217 MAIN ST STE 103, MILL CREEK, WA 98012-9004
(781) 249-0094
Mailing address
4207 236TH ST SW APT E306, MOUNTLAKE TERRACE, WA 98043-4311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61221343
WA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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