Individual
CAROLYN J BURKHART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
515 MINOR AVE, STE 210, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006950
WA
363L00000X
Nurse Practitioner
RN00086596
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199672
L & I
WA
05
—
9645672
—
WA
Enumeration date
09/30/2005
Last updated
07/08/2007
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