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NPI Code Detail

MEDICARE: MRS. KRISTA RENAE KINNE ARNP

MEDICARE: MRS. KRISTA RENAE KINNE 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
1163WP1700XPerinatal Registered NurseRN00134495WA
2163WX0002XHigh-Risk Obstetric Registered NurseAP30006653WA
3363LW0102XWomen's Health Nurse PractitionerAP30006653WA

General Provider Information

NPI Number : 1962464727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTA RENAE KINNE ARNP
Provider Business Mailing Address
First Line : 1229 MADISON ST STE 750
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3540
Country : US
Telephone Number : 206-386-2101
Fax Number :
Provider Business Practice Location Address
First Line : 1229 MADISON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3540
Country : US
Telephone Number : 206-386-2101
Fax Number : 206-386-2555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/25/2011

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