Kimberly Colleran Hulse, RN

Individual provider Active NPI Registered Nurse · Orting, WA

NPI 1013664556 · NPPES record last updated Mar 4, 2022

Key facts

NPI
1013664556
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN61074348 (WA)
Practice address
21108 Orville Rd E
Orting, WA 98360-9764
Phone
(253) 376-8604
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61074348WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61074348 WA Yes

Addresses

Primary practice location

21108 Orville Rd E
Orting, WA 98360-9764

Mailing address

21108 Orville Rd E
Orting, WA 98360-9764
Phone (253) 376-8604

Other providers in Orting, WA

All providers in Orting, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.