Kimberly Hansen, RN
Individual provider Active NPI Registered Nurse · Warden, WA
NPI 1659624088 · NPPES record last updated Oct 23, 2012
Key facts
- NPI
- 1659624088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN00145890 (WA)
- Practice address
- 101 W Beck Way
Warden, WA 98857-9401 - Phone
- (509) 349-2366
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN00145890 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00145890 | WA | Yes |
Addresses
Primary practice location
101 W Beck Way
Warden, WA 98857-9401
Mailing address
101 W Beck Way
Warden, WA 98857-9401
Other providers in Warden, WA
- John S. Barney
- Janna Violet Benzel
- Louise E Marcus
- Smilequest
- Smilequest Preventive Oral Healthcare
- Warden School District
- Dorothy T Yamamoto
All providers in Warden, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.