Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP30007402 | WA |
NPI | 1033133566 |
---|---|
Provider Name | Kimberly E Riano |
First Address | Olympia, WA 98502-4577 |
Second Address | Olympia, WA 98502-4577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 20/04/2021 |