Individual
KATHERINE LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1112 6TH AVE, 200, TACOMA, WA 98405-4040
(253) 272-8664
(253) 404-1352
Mailing address
1112 6TH AVE, TACOMA, WA 98405-4048
(253) 272-8664
(253) 404-1352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005528
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202641
LABOR & INDUSTRIES
WA
01
—
1021BR
REGENCE
—
Enumeration date
03/02/2006
Last updated
12/27/2022
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