Provider Demographics
NPI:1538660881
Name:BRINKOPF, KATRINA (DNP, ARNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:
Last Name:BRINKOPF
Suffix:
Gender:F
Credentials:DNP, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E MAIN STE D
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-5612
Mailing Address - Country:US
Mailing Address - Phone:253-466-3122
Mailing Address - Fax:253-256-7911
Practice Address - Street 1:510 E MAIN STE D
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-5612
Practice Address - Country:US
Practice Address - Phone:253-466-3122
Practice Address - Fax:253-256-7911
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60622681163W00000X
WAAP60989967363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse