Provider Demographics
NPI:1740983337
Name:ROWE, KIMBERLEE ANNE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:ANNE
Last Name:ROWE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 S 118TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98168-1219
Mailing Address - Country:US
Mailing Address - Phone:425-922-3412
Mailing Address - Fax:
Practice Address - Street 1:2421 S 118TH ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98168-1219
Practice Address - Country:US
Practice Address - Phone:425-922-3412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61420186363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health