Provider Demographics
NPI:1033133566
Name:RIANO, KIMBERLY E (ARNP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:E
Last Name:RIANO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 LIMITED LN NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4577
Mailing Address - Country:US
Mailing Address - Phone:360-706-2763
Mailing Address - Fax:360-350-0735
Practice Address - Street 1:2950 LIMITED LN NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4577
Practice Address - Country:US
Practice Address - Phone:360-706-2763
Practice Address - Fax:360-350-0735
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007402363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care