Provider Demographics
NPI:1033360953
Name:NEGA, KATIE KOSANDA (APN/CNP)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:KOSANDA
Last Name:NEGA
Suffix:
Gender:F
Credentials:APN/CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6158
Mailing Address - Country:US
Mailing Address - Phone:206-598-4294
Mailing Address - Fax:206-598-6986
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6158
Practice Address - Country:US
Practice Address - Phone:206-598-4294
Practice Address - Fax:206-598-6986
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60415105363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology