Healthcare Provider Details

I. General information

NPI: 1619174026
Provider Name (Legal Business Name): KATHRYN ELIZABETH HARRIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 01/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

215 BEGIN STREET # 85
COQUITLAM BRITISH COLUMBIA
V3K4V4
CA

V. Phone/Fax

Practice location:
  • Phone: 206-987-2248
  • Fax: 206-987-7126
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP 30007754
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN00159324
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: