Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP60905099 | WA |
NPI | 1003382292 |
---|---|
Provider Name | Katie Uberti |
First Address | Everett, WA 98206-5127 |
Second Address | Mukilteo, WA 98275-4700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2018 |
Last Update Date | 16/10/2018 |