SPECTRUM CARE PLLC NPI 1053798546

NPI Information

  • NPI: 1053798546
  • Provider Name: SPECTRUM CARE, PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: KIMMER COLLISON-RIS FNP-BC, MS CAM
  • Address: 16825 48TH AVE W
    117
    LYNNWOOD, WA
    ZIP 98037
  • Phone: (425) 210-4187

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NPI Details

SPECTRUM CARE, PLLC is a family nurse practitioner in Lynnwood, WA. SPECTRUM CARE, PLLC NPI is 1053798546. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kimmer Collison-ris Fnp-bc, Ms Cam.

The provider's business location address is:

16825 48TH AVE W
117
LYNNWOOD, WA
ZIP 98037-401
Phone: (425) 210-4187
Fax: (425) 361-1704

The provider's authorized official is Kimberly 'kimmer' Verlynn Collison-ris .
The authorized official title is Owner/provider and has the following contact phone number 42521041187.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP30006553WASHINGTONYes

What is NPI?

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This page was last updated on: 3/30/2025

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