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NPI Code Detail

MEDICARE: KATHERINE ANNE ESPY RN

MEDICARE: KATHERINE ANNE ESPY RN
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
1163W00000XRegistered NurseRN00078871WA

General Provider Information

NPI Number : 1366787616
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANNE ESPY RN
Provider Business Mailing Address
First Line : 2649 HOOVER AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3013
Country : US
Telephone Number : 360-443-3170
Fax Number :
Provider Business Practice Location Address
First Line : 2649 HOOVER AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3013
Country : US
Telephone Number : 360-443-3170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2012
Last Update Date : 11/27/2012

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