Healthcare Provider Details

I. General information

NPI: 1669039384
Provider Name (Legal Business Name): KATALA LACH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MAIN ST
ELMA WA
98541-9560
US

IV. Provider business mailing address

8521 15TH AVE SE
OLYMPIA WA
98513-7745
US

V. Phone/Fax

Practice location:
  • Phone: 360-495-5780
  • Fax: 360-495-5781
Mailing address:
  • Phone: 253-341-2398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61461029
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60765583
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: