Provider Demographics
NPI:1922750801
Name:FLINKFELT, COLLETTE JANE (NP)
Entity type:Individual
Prefix:
First Name:COLLETTE
Middle Name:JANE
Last Name:FLINKFELT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98907-0244
Mailing Address - Country:US
Mailing Address - Phone:509-490-4132
Mailing Address - Fax:
Practice Address - Street 1:917 PITCHER ST
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-3063
Practice Address - Country:US
Practice Address - Phone:509-490-4132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-22
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60889539163W00000X
WAAP61673571363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse