Individual
KATHRYN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
21911 76TH AVE W STE 110, EDMONDS, WA 98026-7918
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60676460
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60676460
WA
363LF0000X
Family Nurse Practitioner
RN60177789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066621
—
WA
Enumeration date
08/19/2016
Last updated
05/20/2021
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