Provider Demographics
NPI:1447205703
Name:CURTIS, KIRSTIN RENEE (FNP)
Entity Type:Individual
Prefix:MS
First Name:KIRSTIN
Middle Name:RENEE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-647-1900
Mailing Address - Fax:360-647-1542
Practice Address - Street 1:2101 CORNWALL AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3649
Practice Address - Country:US
Practice Address - Phone:360-647-1900
Practice Address - Fax:360-647-1542
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP30006639OtherLICENCE
WAAP30006639OtherLICENCE