Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN273882 | MA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP 60337127 | WA |
NPI | 1013264761 |
---|---|
Provider Name | Dr. Brooke D Katz |
First Address | Seattle, WA 98101-4500 |
Second Address | Seattle, WA 98122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 14/10/2019 |