Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP30005920 | WA |
NPI | 1013924505 |
---|---|
Provider Name | Ms. Karen Wilkinson |
First Address | Lynnwood, WA 98037-8334 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4301375 | (05) | MT |
9637562 | (05) | WA |
NP561WA | (05) | AK |
Q48860 | (02) | WA |