Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | AP60415105 | WA |
NPI | 1033360953 |
---|---|
Provider Name | Mrs. Katie Kosanda Nega |
First Address | Seattle, WA 98195-6158 |
Second Address | Seattle, WA 98195-6158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2008 |
Last Update Date | 13/04/2017 |