Individual provider · Type 1 NPI

Kimberly Samuelson, FNP-C

Nurse Practitioner · Puyallup, WA

NPI number 1396541124 Active

Practice location

9909 168th St E Ste 102
Puyallup, WA 98375-2513

Other practice locations

  • 27317 Maple Valley Black Diamond Rd SE Ste A110, Maple Valley, WA 98038-5158 · (425) 200-4546

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X61570680 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1396541124

Kimberly Samuelson, FNP-C's National Provider Identifier is 1396541124, issued on Feb 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Puyallup, WA. The record was last updated on Sep 30, 2026.