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General NPI Number Information
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NPI Number | 1407537665
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Entity Type | Individual
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Provider Name | KIANNI DEMMERT RN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2683
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City | STANWOOD
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State | WA
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Zip | 98292-2683
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Country | US
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Telephone | 360-202-6244
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP.AP.70135108-NP
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License Number State | WA
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