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Individual

KATHERINE BERNDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3434 12TH AVE NE, OLYMPIA, WA 98506
(360) 413-8470
(360) 413-8490
Mailing address
3434 12TH AVE NE, OLYMPIA, WA 98506
(360) 413-8470
(360) 413-8490

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30003685
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN00077964
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9615337
WA
Enumeration date
10/05/2006
Last updated
02/28/2014
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