Individual
KATHLEEN MCBROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP,CNM
Contact information
Practice address
201 16TH AVE E, MS: CWB-2, SEATTLE, WA 98112-5226
(206) 324-1449
(206) 324-6977
Mailing address
905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN00129228
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP30005457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9639154
—
WA
Enumeration date
08/30/2006
Last updated
04/09/2021
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