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NPI Code Detail

MEDICARE: MS. DIANA G KATZ PMH-NP

MEDICARE: MS. DIANA G KATZ PMH-NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61412279WA

General Provider Information

NPI Number : 1093193047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANA G KATZ PMH-NP
Provider Business Mailing Address
First Line : 2212 S JACKSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2591
Country : US
Telephone Number : 206-322-2387
Fax Number : 206-322-6306
Provider Business Practice Location Address
First Line : 2212 S JACKSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2591
Country : US
Telephone Number : 206-322-2387
Fax Number : 206-322-6306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2015
Last Update Date : 08/01/2023

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