Healthcare Provider Details

I. General information

NPI: 1669394185
Provider Name (Legal Business Name): KATHERINE SARLITTO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 S HENDERSON ST
SEATTLE WA
98108-4720
US

IV. Provider business mailing address

PO BOX 1472
ISSAQUAH WA
98027-0060
US

V. Phone/Fax

Practice location:
  • Phone: 855-289-4503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70142702-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: