Provider Demographics
NPI:1609409085
Name:ORLOWSKI, KRIS DEE (MSN, ARNP INC)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:DEE
Last Name:ORLOWSKI
Suffix:
Gender:F
Credentials:MSN, ARNP INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 S MILDRED ST STE 105
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98465-1628
Mailing Address - Country:US
Mailing Address - Phone:253-473-7637
Mailing Address - Fax:253-671-8472
Practice Address - Street 1:1628 S MILDRED ST STE 105
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98465-1628
Practice Address - Country:US
Practice Address - Phone:253-473-7637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAF02200574363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2174643Medicaid