Healthcare Provider Details

I. General information

NPI: 1750755310
Provider Name (Legal Business Name): CATHERINE MUNENE ARNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PACIFIC AVE STE 400
TACOMA WA
98402-4381
US

IV. Provider business mailing address

32056 37TH PL S
FEDERAL WAY WA
98001-5160
US

V. Phone/Fax

Practice location:
  • Phone: 253-300-8447
  • Fax:
Mailing address:
  • Phone: 206-251-3676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61083414
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00171176
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: