Healthcare Provider Details

I. General information

NPI: 1285267757
Provider Name (Legal Business Name): KAREN YOUNG GABLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN YOUNG SURVIS

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 S 5TH ST
TACOMA WA
98405-4210
US

IV. Provider business mailing address

1959 NE PACIFIC ST
SEATTLE WA
98195-7263
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number60391026
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61177739
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: