Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP60427017 | WA |
NPI | 1003245432 |
---|---|
Provider Name | Mrs. Kara Harrington Brennan |
First Address | Seattle, WA 98102-3942 |
Second Address | Bellevue, WA 98004-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2013 |
Last Update Date | 10/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003245432 | (05) | WA |
G8927771 | MEDICARE PTAN (01) |