Healthcare Provider Details
I. General information
NPI: 1003245432
Provider Name (Legal Business Name): KARA HARRINGTON BRENNAN MSN, ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/06/2013
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11522 NE 20TH ST
BELLEVUE WA
98004-3005
US
IV. Provider business mailing address
1520 EASTLAKE AVE E APT 324
SEATTLE WA
98102-3942
US
V. Phone/Fax
- Phone: 425-462-2531
- Fax: 425-454-6176
- Phone: 303-704-2270
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | AP60427017 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SG0600X |
| Taxonomy | Gerontology Clinical Nurse Specialist |
| License Number | AP60427017 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: