Individual
KATHRYN ELIZABETH DE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 CAPITAL MALL DR SW STE 200, OLYMPIA, WA 98502-8701
(360) 596-4899
(360) 596-4889
Mailing address
3920 CAPITAL MALL DR SW STE 200, OLYMPIA, WA 98502-8701
(716) 725-5849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60911373
WA
Other
Enumeration date
11/01/2018
Last updated
12/23/2019
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