Provider Demographics
NPI:1942234026
Name:VEILLEUX, KIMBERLEY ANNE (ANP)
Entity type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:ANNE
Last Name:VEILLEUX
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY # 127
Mailing Address - Street 2:SEATLLE VA NEUROLOGY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:800-329-8387
Mailing Address - Fax:206-764-2802
Practice Address - Street 1:1660 S COLUMBIAN WAY # 127
Practice Address - Street 2:SEATLLE VA NEUROLOGY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:800-329-8387
Practice Address - Fax:206-764-2802
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006265363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAVAD000Medicaid
WA98055-5738OtherVALLEY MEDICAL CENTER
WAVAD000Medicaid
WAVAD000Medicare PIN
WAP72877Medicare UPIN