Provider Demographics
NPI:1447979273
Name:OLSEN, KIMBERLY YUKA (DNP, ARNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:YUKA
Last Name:OLSEN
Suffix:
Gender:F
Credentials:DNP, ARNP, AGACNP-BC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:YUKA
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10008 43RD PL NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8112
Mailing Address - Country:US
Mailing Address - Phone:425-221-7198
Mailing Address - Fax:
Practice Address - Street 1:2420 S STATE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2845
Practice Address - Country:US
Practice Address - Phone:253-573-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60913806390200000X, 163W00000X
WAAP70001967363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163W00000XNursing Service ProvidersRegistered Nurse