Healthcare Provider Details

I. General information

NPI: 1134515315
Provider Name (Legal Business Name): CATHERINE HORNER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 05/08/2015
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

4800 SAND POINT WAY NE P.O. BOX 5371/RC.2.820
SEATTLE WA
98105-3901
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2015
  • Fax:
Mailing address:
  • Phone: 206-987-2015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60563102
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: