MEDICARE: KATE NOEL DONAHUE 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61048351	WA

General Provider Information

NPI Number	:	1386108348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE NOEL DONAHUE ARNP

Provider Business Mailing Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-372-8635
Fax Number	:	253-276-6624

Provider Business Practice Location Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-372-8635
Fax Number	:	253-276-6624

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

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	10/04/2022

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