Provider Demographics
NPI:1164446316
Name:HOWARD, KRISTEN R (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:R
Last Name:HOWARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:R
Other - Last Name:VOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:34509 9TH AVE S
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6700
Mailing Address - Country:US
Mailing Address - Phone:253-815-7774
Mailing Address - Fax:253-815-7708
Practice Address - Street 1:34509 9TH AVE S
Practice Address - Street 2:SUITE 103
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6700
Practice Address - Country:US
Practice Address - Phone:253-815-7774
Practice Address - Fax:253-815-7708
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007409363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAQ71815Medicare UPIN