Healthcare Provider Details

I. General information

NPI: 1922750801
Provider Name (Legal Business Name): COLLETTE JANE FLINKFELT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 N 3RD ST STE 435
YAKIMA WA
98901-2730
US

IV. Provider business mailing address

PO BOX 244
YAKIMA WA
98907-0244
US

V. Phone/Fax

Practice location:
  • Phone: 509-225-9006
  • Fax: 949-703-8830
Mailing address:
  • Phone: 509-490-4132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61673571
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60889539
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: