Provider Demographics
NPI:1639243363
Name:MOCHAN, KARA NADINE (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:NADINE
Last Name:MOCHAN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1107 NE 45TH ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4690
Mailing Address - Country:US
Mailing Address - Phone:206-696-8577
Mailing Address - Fax:206-632-7173
Practice Address - Street 1:1107 NE 45TH ST
Practice Address - Street 2:SUITE 410
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4690
Practice Address - Country:US
Practice Address - Phone:206-696-8577
Practice Address - Fax:206-632-7173
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30006581363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAQ16913Medicare UPIN