Provider Demographics
NPI:1093328197
Name:WALTON, EMILY KASTRUP (DNP-ARNP, RN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KASTRUP
Last Name:WALTON
Suffix:
Gender:F
Credentials:DNP-ARNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4858 29TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2108
Mailing Address - Country:US
Mailing Address - Phone:585-330-8251
Mailing Address - Fax:
Practice Address - Street 1:121 N DIVISION ST STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-4931
Practice Address - Country:US
Practice Address - Phone:253-876-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60342913163W00000X
WAAP61447752363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse