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Individual

KATIE ETHERINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP-BC

Contact information

Practice address
853 WATSON ST N STE 200, ENUMCLAW, WA 98022-3948
(360) 367-2970
Mailing address
711 N EVERGREEN RD APT 2101, MESA, AZ 85201-7551

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP61092014
WA
367A00000X
Advanced Practice Midwife
Primary

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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