Healthcare Provider Details

I. General information

NPI: 1902857089
Provider Name (Legal Business Name): MARY L D KUHNS ARNP/NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MARTIN LUTHER KING JR WAY MS Z0-NTL
TACOMA WA
98405-4234
US

IV. Provider business mailing address

380 NW BOULDER PL
ISSAQUAH WA
98027-5645
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1019
  • Fax: 253-403-1686
Mailing address:
  • Phone: 509-952-9154
  • Fax: 426-427-0926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP30003110
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: