Bergquist, Kathleen A

Bergquist, Kathleen A is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bergquist, Kathleen A can be contacted via phone (425) 353-3588.

Contact Information

Primary practice address
400 S 43Rd St Renton WA 98055-5714
Phone: (425) 353-3588
Fax: (425) 353-8041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00042447 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30004852 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004852 Washington

Profile Details

NPI number 1063524080
LBN Legal business name Bergquist, Kathleen A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 15th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063524080 NPPES
Washington Other 0046242 LABOR AND INSDUSTRIES
Washington MEDICAID 9610106 LABOR AND INSDUSTRIES

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