Individual
MS. KATHERINE VERONICA GAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1953
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00174782
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60464002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047988
—
WA
Enumeration date
09/22/2011
Last updated
08/26/2016
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