Individual
KATIE GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60681423
WA
363LG0600X
Gerontology Nurse Practitioner
AP60681423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326580978
—
WA
01
—
8962983
MEDICARE PIN
WA
Enumeration date
11/14/2016
Last updated
11/02/2017
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