Provider Demographics
NPI:1629385042
Name:BOZEK, CATHLEEN MARIE (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:CATHLEEN
Middle Name:MARIE
Last Name:BOZEK
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 1:1010 S 146TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3669
Mailing Address - Country:US
Mailing Address - Phone:206-241-0990
Mailing Address - Fax:206-248-8232
Practice Address - Street 1:1010 S 146TH ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98168-3669
Practice Address - Country:US
Practice Address - Phone:206-241-0990
Practice Address - Fax:206-248-8232
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60185002363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health