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Individual

KATHY DOAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, MPH, ARNP

Contact information

Practice address
4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6765
(425) 616-4100
Mailing address
4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6765
(425) 616-4100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163876
CT
163W00000X
Registered Nurse
61173482
WA
363L00000X
Nurse Practitioner
61202048
WA
363L00000X
Nurse Practitioner
Primary
61208819
WA
363LF0000X
Family Nurse Practitioner
AP61202048
WA

Other

Enumeration date
07/21/2021
Last updated
08/13/2021
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