Individual
KATHERINE ELIZABETH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1212 N PINES RD, SPOKANE VALLEY, WA 99206-4939
(509) 893-8140
Mailing address
956 E HARTSON AVE APT 2, SPOKANE, WA 99202-2337
(253) 218-9234
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60969823
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60969823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60969823
ARNP LICENSE
WA
Enumeration date
06/03/2019
Last updated
06/22/2021
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