Healthcare Provider Details

I. General information

NPI: 1821308131
Provider Name (Legal Business Name): CASSIE ELIZABETH KUVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSIE ELIZABETH RIDDLE RN

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BROADWAY SUITE 2075
SEATTLE WA
98104
US

IV. Provider business mailing address

329 9TH AVE MS:359947
SEATTLE WA
98104
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-1600
  • Fax:
Mailing address:
  • Phone: 206-744-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00158199
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN00158199
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN00158199
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN00158199
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN00158199
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN00158199
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN00158199
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: