Healthcare Provider Details

I. General information

NPI: 1457716995
Provider Name (Legal Business Name): ANNA CATHERINE CAIRNS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 SQUALICUM WAY STE 101
BELLINGHAM WA
98225-2076
US

IV. Provider business mailing address

905 SQUALICUM WAY STE 101
BELLINGHAM WA
98225-2076
US

V. Phone/Fax

Practice location:
  • Phone: 360-676-1470
  • Fax: 360-676-0377
Mailing address:
  • Phone: 360-676-1470
  • Fax: 360-676-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.18478-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60729958
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: