Healthcare Provider Details

I. General information

NPI: 1538252069
Provider Name (Legal Business Name): KARI ELAINE CUNNINGHAM-ROSVIK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 SW 136TH STREET
BURIEN WA
98166
US

IV. Provider business mailing address

2600 SW HOLDEN STREET
SEATTLE WA
98126-3505
US

V. Phone/Fax

Practice location:
  • Phone: 206-257-6601
  • Fax: 206-257-6830
Mailing address:
  • Phone: 206-933-7000
  • Fax: 206-933-4064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30002277
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: