Individual
KATHRYN RENEE-SMITH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, ARNP, MSN
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60495735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447551114
—
WA
Enumeration date
11/10/2010
Last updated
05/03/2016
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