Healthcare Provider Details

I. General information

NPI: 1265064992
Provider Name (Legal Business Name): SHERRY L KARR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC STREET
SEATTLE WA
98195-7263
US

IV. Provider business mailing address

1959 NE PACIFIC ST
SEATTLE WA
98195-7263
US

V. Phone/Fax

Practice location:
  • Phone: 949-702-7322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number60517961
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: