Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD00039857 | WA |
NPI | 1134150923 |
---|---|
Provider Name | Katherine A Pryde |
First Address | Seattle, WA 98112-5103 |
Second Address | Seattle, WA 98112-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8283129 | (05) | WA |
H11731 | (02) | WA |