Individual
MRS. KATHRYN RENAE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, DNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60342468
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60342468
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932448966
—
WA
Enumeration date
02/12/2013
Last updated
12/19/2019
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