Individual
KATHLEEN PATRICIA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1637
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1637
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17168
CA
363L00000X
Nurse Practitioner
Primary
AP60695749
WA
Other
Enumeration date
03/15/2007
Last updated
03/17/2018
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