Individual
KATHLEEN MARY AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NNP
Contact information
Practice address
900 PACIFIC AVE, SECOND FLOOR, EVERETT, WA 98201-4168
(425) 304-6040
(425) 304-6045
Mailing address
909 N BROADWAY, PBO, EVERETT, WA 98201-1409
(425) 317-0264
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP30005772
WA
Other
Enumeration date
06/18/2006
Last updated
01/30/2009
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