Provider Demographics
NPI:1336494509
Name:GRIFFIN-HARTE, KARI LYN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LYN
Last Name:GRIFFIN-HARTE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-2443
Mailing Address - Country:US
Mailing Address - Phone:360-385-5388
Mailing Address - Fax:425-259-8611
Practice Address - Street 1:934 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-2957
Practice Address - Country:US
Practice Address - Phone:360-385-5388
Practice Address - Fax:425-259-8611
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY30835.1183363LF0000X
WAAP60818381363LF0000X
CO0990641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily