Individual
MEDEA REVERELLY KARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 734-4981
(888) 734-4981
Mailing address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 734-4981
(888) 734-4981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8876853
PTAN
—
Enumeration date
12/27/2006
Last updated
12/04/2017
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