Peterson, Katrina Irene

Peterson, Katrina Irene is an individual health care provider with primary practice located at 1231 116Th Ave Ne Ste 515 , Bellevue WA 98004-3804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Katrina Irene can be contacted via phone (425) 688-5000.

Contact Information

Primary practice address
1231 116Th Ave Ne Ste 515 Bellevue WA 98004-3804
Phone: (425) 688-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61452567 Washington

Profile Details

NPI number 1104225911
LBN Legal business name Peterson, Katrina Irene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Oct 16th, 2023 - about 3 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 1104225911 NPPES
Texas MEDICAID 343601601
Texas Other 387414YLLW

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