Individual
KATIE MARIE KASUNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
421 S DIVISION ST, SPOKANE, WA 99202-1331
(509) 474-2100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
AP60411115
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60411115
WA
Other
Enumeration date
11/06/2013
Last updated
09/05/2023
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