Individual
MOLLY L. BENNETT-KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3000
(206) 598-3040
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00038832
WA
363L00000X
Nurse Practitioner
AP30000511
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30000511
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156071
LABOR & INDUSTRY
WA
05
—
9627811
—
WA
01
—
U39254
REGENCE BLUESHIELD
WA
Enumeration date
05/10/2006
Last updated
02/27/2012
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