Healthcare Provider Details

I. General information

NPI: 1649262122
Provider Name (Legal Business Name): KRISTEN K. DOERR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 S MILLER ST CENTRAL WASHINGTON HOSPITAL FAMILY PHYSICIANS
WENATCHEE WA
98801-3201
US

IV. Provider business mailing address

PO BOX 1887 CENTRAL WASHINGTON HOSPITAL FAMILY PHYSICIANS
WENATCHEE WA
98807-1887
US

V. Phone/Fax

Practice location:
  • Phone: 509-665-6087
  • Fax: 509-665-6161
Mailing address:
  • Phone: 509-665-6087
  • Fax: 509-665-6161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007074
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP30007074
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: