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NPI Code Detail

MEDICARE: CATHLEEN ERIN JUAREZ ARNP

MEDICARE: CATHLEEN ERIN JUAREZ ARNP
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
1363LF0000XFamily Nurse PractitionerAP61451770WA

General Provider Information

NPI Number : 1871274035
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHLEEN ERIN JUAREZ ARNP
Provider Business Mailing Address
First Line : 604 OAKESDALE AVE SW STE 102
Second Line :
City : RENTON
State : WA
Zip : 98057-5204
Country : US
Telephone Number : 253-372-7960
Fax Number :
Provider Business Practice Location Address
First Line : 604 OAKESDALE AVE SW STE 102
Second Line :
City : RENTON
State : WA
Zip : 98057-5204
Country : US
Telephone Number : 253-372-7960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2023
Last Update Date : 08/28/2023

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