Individual
KATHERINE WAGNER GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2987
Mailing address
4800 SAND POINT WAY NE, # OA9-345, SEATTLE, WA 98105
(808) 983-6786
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1608
HI
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60786414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051116795
BCBS
AL
01
—
051116796
BCBS
AL
05
—
128939
—
AL
05
—
128943
—
AL
Enumeration date
03/16/2011
Last updated
04/22/2020
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