Individual
KRISTEN M CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2431 ANDERSON AVE, PORT ORCHARD, WA 98366-1302
(360) 710-3319
(360) 876-0878
Mailing address
4810 POINT FOSDICK DR NW, PMB 27, GIG HARBOR, WA 98335-1711
(360) 710-3319
(360) 876-0878
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN00138087
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225388
STATE L & I
WA
01
—
0258710
STATE L & I
WA
Enumeration date
01/29/2007
Last updated
02/10/2014
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