Provider Demographics
NPI:1558478438
Name:BAER, KARIN W (ARNP)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:W
Last Name:BAER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VIRGINIA ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1439
Mailing Address - Country:US
Mailing Address - Phone:206-621-1116
Mailing Address - Fax:206-621-0406
Practice Address - Street 1:1100 VIRGINIA ST
Practice Address - Street 2:SUITE 215
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1439
Practice Address - Country:US
Practice Address - Phone:206-621-1116
Practice Address - Fax:206-621-0406
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003803363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA911024883OtherCOMMERCIAL
WA8189BAOtherBLUE SHIELD REGENCE
WA8189BAOtherBLUE SHIELD REGENCE
WA8802333Medicare ID - Type Unspecified