MEDICARE: KAREN J. DOLDE 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	163WP0808X	Psychiatric/Mental Health Registered Nurse	AP30004457	WA

General Provider Information

NPI Number	:	1144316563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN J. DOLDE ARNP

Provider Business Mailing Address
First Line	:	5738 KIRKWOOD PL N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5932
Country	:	US
Telephone Number	:	206-525-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	6534 4TH AVE NE STE 103
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-6470
Country	:	US
Telephone Number	:	206-523-0588
Fax Number	:	206-523-0590

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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