MEDICARE: KATHLEEN H MYLAN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN60799705	WA
2	363L00000X	Nurse Practitioner	AP60799706	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60799706	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013377654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN H MYLAN ARNP

Provider Business Mailing Address
First Line	:	126 NW CANAL ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4970
Country	:	US
Telephone Number	:	206-486-1500
Fax Number	:	206-775-7215

Provider Business Practice Location Address
First Line	:	126 NW CANAL ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4970
Country	:	US
Telephone Number	:	206-486-1500
Fax Number	:	206-775-7215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2016
Last Update Date	:	07/01/2025

Similar Medicare Providers

1407258866 — DOUGLAS STEVEN LIM ARNP
Practice Location Address:

126 NW CANAL ST STE 200
SEATTLE, WA
98107-4970

Practice Phone: 206-486-1500
Practice Fax: 206-775-7215

1184934861 — MS. CATHERINE EILENE RAMSEY ARNP
Practice Location Address:

126 NW CANAL ST
SEATTLE, WA
98107-4970

Practice Phone: 206-520-5000
Practice Fax:

1265781918 — ELIZA WARFIELD BRINK DNP, ARNP, PMHNP-BC
Practice Location Address:

126 NW CANAL ST STE 200
SEATTLE, WA
98107-4970

Practice Phone: 206-486-1500
Practice Fax: 206-775-7215

1225493455 — ERIKA MOEN BENJAMIN ARNP
Practice Location Address:

126 NW CANAL ST
SEATTLE, WA
98107-4970

Practice Phone: 206-486-1500
Practice Fax:

1164947438 — EMMA OSWALD ARNP
Practice Location Address:

126 NW CANAL ST STE 200
SEATTLE, WA
98107-4970

Practice Phone: 206-486-1500
Practice Fax: 206-775-7215

1891330643 — MRS. CAITLIN MELISSA GERRITY RN
Practice Location Address:

126 NW CANAL ST STE 200
SEATTLE, WA
98107-4970

Practice Phone: 425-486-1500
Practice Fax: 206-775-7215

Directions to “ KATHLEEN H MYLAN ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.