Individual
KAITLYN ROSE HODDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, ARNP, FNP-C
Contact information
Practice address
17638 140TH AVE NE, WOODINVILLE, WA 98072-6800
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61231112
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61231112
WA
Other
Enumeration date
10/14/2021
Last updated
07/18/2022
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