MEDICARE: KATHLEEN WARNER MALNOR CNM, 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	363LW0102X	Women's Health Nurse Practitioner	AP30004144	WA
2	163WW0101X	Ambulatory Women's Health Care Registered Nurse	RN00105173	WA
3	367A00000X	Advanced Practice Midwife	AP30004144	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	:	1275615585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN WARNER MALNOR CNM, ARNP

Provider Business Mailing Address
First Line	:	PO BOX 1213
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98227-1213
Country	:	US
Telephone Number	:	360-676-2762
Fax Number	:	360-767-2762

Provider Business Practice Location Address
First Line	:	1907 BROADWAY ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-3237
Country	:	US
Telephone Number	:	360-746-9585
Fax Number	:

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	03/17/2026

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