National Provider Identifier Database

KIMBERLY J BERTUCCI, DNP – NPI #1417466871
Adult Health


Contact Information

KIMBERLY J BERTUCCI, DNP
1802 YAKIMA AVE STE 302
TACOMA, WA98405-5305
Phone: 253-627-1244
Fax: 253-627-6576
Website:
Specialty Taxonomy Code
* Adult Health 363LA2200X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY J BERTUCCI

NPI Number 1417466871
Credentials DNP
Entity Individual
Enumeration date 09/28/2017
Last updated 09/27/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • LA License #: AP09547
  • WA License #: AP61550203
  • LA Medicaid: 2458370
  • WA Medicaid: 2289912
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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