MEDICARE: KATHERINE VALERA CAMPICHE 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
1	163W00000X	Registered Nurse	RN60365884	WA

General Provider Information

NPI Number	:	1447100466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE VALERA CAMPICHE RN

Provider Business Mailing Address
First Line	:	1616 4TH AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 TALLMAN AVE NW STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5902
Country	:	US
Telephone Number	:	206-320-3335
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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