Individual
KATHRYN ROSE KEURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7110
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61251815
WA
363L00000X
Nurse Practitioner
RN264719
NC
363L00000X
Nurse Practitioner
RN61245549
WA
363LA2100X
Acute Care Nurse Practitioner
5013538
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61251815
WA
363LG0600X
Gerontology Nurse Practitioner
5013538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202105
—
WA
Enumeration date
09/11/2020
Last updated
01/24/2026
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