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General NPI Number Information
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NPI Number | 1689911174
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Entity Type | Individual
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Provider Name | LISA ANN KATON ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 5702 N 26TH ST
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City | TACOMA
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State | WA
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Zip | 98407-2406
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Country | US
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Telephone | 253-380-4944
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Fax | 833-903-0081
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Provider Business Mailing Address
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Address Line | PO BOX 948
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City | FLORENCE
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State | AZ
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Zip | 85132-3019
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Country | US
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Telephone | 253-380-4944
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60328990
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60328990
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License Number State | WA
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