Kimberly Samuelson, FNP-C

Nurse Practitioner · Puyallup, WA

Individual Active NPI

NPI number 1396541124

Practice location

9909 168TH St E Ste 102
Puyallup, WA 98375-2513
Phone
(253) 445-3000

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NPI record

NPI
1396541124
Entity type
Individual (Type 1)
Enumeration date
February 21, 2025
Last updated
February 23, 2025
Certified
February 23, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 61570680 WA

About Kimberly Samuelson

Kimberly Samuelson, FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 9909 168TH St E Ste 102, Puyallup, WA 98375-2513. The NPI number 1396541124 was assigned on February 21, 2025 and the record was last updated on February 23, 2025.

Kimberly Samuelson lists a license in the registry: #61570680 (WA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Samuelson, FNP-C?

The NPI number is 1396541124.

What is the phone number of Kimberly Samuelson?

The phone number listed for the practice location is (253) 445-3000.

Where is Kimberly Samuelson located?

9909 168TH St E Ste 102, Puyallup, WA 98375-2513.

What is the taxonomy code for Kimberly Samuelson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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