Individual
KATHLEEN H MYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
126 NW CANAL ST STE 200, SEATTLE, WA 98107-4970
(206) 486-1500
(206) 775-7215
Mailing address
126 NW CANAL ST STE 200, SEATTLE, WA 98107-4970
(206) 486-1500
(206) 775-7215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60799705
WA
363L00000X
Nurse Practitioner
AP60799706
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60799706
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013377654
—
WA
Enumeration date
02/24/2016
Last updated
07/01/2025
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