Healthcare Provider Details

I. General information

NPI: 1154437796
Provider Name (Legal Business Name): NATALIE JEAN KEILHOLZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N 34TH ST SUITE 101
SEATTLE WA
98103-8856
US

IV. Provider business mailing address

PO BOX 34888
SEATTLE WA
98124-1888
US

V. Phone/Fax

Practice location:
  • Phone: 206-838-1777
  • Fax: 206-838-1771
Mailing address:
  • Phone: 425-977-4620
  • Fax: 425-745-9836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30007161
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: