Healthcare Provider Details
I. General information
NPI: 1457532558
Provider Name (Legal Business Name): KIMBERLY CURTIS VALENCIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/16/2007
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1414 S 324TH ST STE B207
FEDERAL WAY WA
98003-8444
US
IV. Provider business mailing address
9035 SW BAYVIEW DR
VASHON WA
98070-7020
US
V. Phone/Fax
- Phone: 253-220-3121
- Fax: 415-252-7176
- Phone: 206-463-1536
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN00090421 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | AP30007950 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: