Individual
KATIE RUTH NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST # C212, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML20008693
WA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD60083432
WA
Other
Enumeration date
09/01/2006
Last updated
05/15/2018
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