Healthcare Provider Details

I. General information

NPI: 1124513718
Provider Name (Legal Business Name): KATRINA LYNN STERLING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 06/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4234
US

IV. Provider business mailing address

20307 CHURCH LAKE DR E
BONNEY LAKE WA
98391-8653
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1418
  • Fax:
Mailing address:
  • Phone: 253-678-8288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN00158970
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60863673
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: