Individual
KARIN P HEUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2609 183RD ST. SE, BOTHELL, WA 98012
(425) 761-3792
(855) 710-7965
Mailing address
22722 29TH DR. SE, SUITE 100, BOTHELL, WA 98021
(425) 780-9168
(855) 710-7965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205101
LABOR AND INDUSTRIES
WA
05
—
9643198
—
WA
Enumeration date
12/21/2006
Last updated
10/18/2024
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