Individual
KATELYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
17443 SE 140TH ST, RENTON, WA 98059-7639
(425) 503-8091
Mailing address
17443 SE 140TH ST, RENTON, WA 98059-7639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61177319
WA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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