NPI Code Details Logo

NPI 1710899331

NPI 1710899331 : BECKY E KATHAN : EDMONDS, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710899331
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BECKY E KATHAN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/18/2026
-----------------------------------------------------
    Last Update Date     |    09/18/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    21701 76TH AVE W STE 304 
-----------------------------------------------------
    City                 |    EDMONDS
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98026-7536
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-791-3084
-----------------------------------------------------
    Fax                  |    425-673-5466
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1728 W MARINE VIEW DR 
-----------------------------------------------------
    City                 |    EVERETT
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98201-2094
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-259-4041
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    ARNP.AP.70178752-NP
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.