Provider Demographics
NPI:1790831055
Name:KARCZEWSKI, CHRISTINE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:KARCZEWSKI
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 1:9 ST HELENS AVE
Mailing Address - Street 2:LEVEL B
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-2600
Mailing Address - Country:US
Mailing Address - Phone:253-582-9426
Mailing Address - Fax:253-572-2194
Practice Address - Street 1:9 ST HELENS AVE
Practice Address - Street 2:LEVEL B
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-2600
Practice Address - Country:US
Practice Address - Phone:253-582-9426
Practice Address - Fax:253-572-2194
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004711363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9645383Medicaid
WAQ51843Medicare UPIN
WAG8858521Medicare PIN