Healthcare Provider Details

I. General information

NPI: 1225694599
Provider Name (Legal Business Name): NINA LOUISE KUHLMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NINA LOUISE WATTS RN

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2592 KWINA RD
BELLINGHAM WA
98226-9278
US

IV. Provider business mailing address

2592 KWINA RD
BELLINGHAM WA
98226-9278
US

V. Phone/Fax

Practice location:
  • Phone: 360-312-2489
  • Fax: 360-384-2336
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00123730
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: