Healthcare Provider Details

I. General information

NPI: 1689611519
Provider Name (Legal Business Name): KAREN D. BICHLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN D. EREAUX ARNP

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 08/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 EAST D STREET
DEER PARK WA
99006
US

IV. Provider business mailing address

PO BOX 1529
DEER PARK WA
99006-1529
US

V. Phone/Fax

Practice location:
  • Phone: 509-276-5005
  • Fax: 509-276-7785
Mailing address:
  • Phone: 509-276-5005
  • Fax: 509-276-7785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30004524
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: