Provider Demographics
NPI:1326564337
Name:SWERLAND, KATIE (ARNP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:SWERLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:LEAHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:14121 NE 24TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3730
Mailing Address - Country:US
Mailing Address - Phone:206-696-6026
Mailing Address - Fax:
Practice Address - Street 1:10708 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5552
Practice Address - Country:US
Practice Address - Phone:206-696-6026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60787304363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health