Individual
BETHANY ANNE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-8638
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60859864
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60859864
WA
363LG0600X
Gerontology Nurse Practitioner
AP60859864
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114400520
—
WA
Enumeration date
09/11/2018
Last updated
12/12/2022
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