Provider Demographics
NPI:1003687260
Name:ESPINOSA KEMP, MARIA LUISA (RN)
Entity Type:Individual
Prefix:
First Name:MARIA LUISA
Middle Name:
Last Name:ESPINOSA KEMP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 119TH PL SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-8322
Mailing Address - Country:US
Mailing Address - Phone:619-321-9532
Mailing Address - Fax:
Practice Address - Street 1:2423 119TH PL SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-8322
Practice Address - Country:US
Practice Address - Phone:619-321-9532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61150146163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse