Provider Demographics
NPI:1003136623
Name:BRASIER, KAITLIN MICHELLE (DNP, ARNP, RN)
Entity Type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:MICHELLE
Last Name:BRASIER
Suffix:
Gender:F
Credentials:DNP, ARNP, RN
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1727 HARBOR AVE SW
Mailing Address - Street 2:UNIT N-303
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2071
Mailing Address - Country:US
Mailing Address - Phone:206-595-3492
Mailing Address - Fax:
Practice Address - Street 1:1525 4TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1607
Practice Address - Country:US
Practice Address - Phone:206-838-6856
Practice Address - Fax:206-838-3085
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60325588363LF0000X
CA21893363LF0000X
WARN00175172163W00000X
CA764253163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse