Individual
KATHRYN EILIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4540 SAND POINT WAY NE STE 100, SEATTLE, WA 98105-3941
(206) 575-8880
(206) 517-4491
Mailing address
4540 SAND POINT WAY NE STE 100, SEATTLE, WA 98105-3941
(206) 575-8880
(206) 517-4491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60055234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9659871
—
WA
01
—
G8882815
MEDICARE PTAN
—
Enumeration date
10/28/2008
Last updated
04/21/2014
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