Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 21893 | CA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP60325588 | WA |
NPI | 1003136623 |
---|---|
Provider Name | Dr. Kaitlin Michelle Brasier |
First Address | Seattle, WA 98126-2071 |
Second Address | Seattle, WA 98101-1607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 23/05/2013 |