Healthcare Provider Details

I. General information

NPI: 1750009841
Provider Name (Legal Business Name): KIMBERLY GHIGLIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9709 3RD AVE NE
SEATTLE WA
98115-2062
US

IV. Provider business mailing address

3445 33RD AVE W
SEATTLE WA
98199-1601
US

V. Phone/Fax

Practice location:
  • Phone: 708-890-6953
  • Fax:
Mailing address:
  • Phone: 708-890-6953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.61349338-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: