# KATHERYN ANNE FAULCONER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467305615
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10060959 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 6481215 | ID | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 728753 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95039400 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | ARNP.AP.70128898-NP | WA | Yes |

## Other

- **Enumeration date:** 02/17/2026
- **Last updated:** 09/16/2026