Provider Demographics
NPI:1477863033
Name:RIEDL-FIGUEROA, KAREN Y (RN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:Y
Last Name:RIEDL-FIGUEROA
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:Y
Other - Last Name:RIEDL-FIGUEROA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, RN
Mailing Address - Street 1:9701 KODIAK PL SW
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98367-6993
Mailing Address - Country:US
Mailing Address - Phone:928-640-0907
Mailing Address - Fax:
Practice Address - Street 1:9701 KODIAK PL SW
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98367-6993
Practice Address - Country:US
Practice Address - Phone:928-640-0907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00160744163W00000X
AZRN148645163WP0200X
WAAP61402022363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics