Provider Demographics
NPI:1790872836
Name:CHOKA, KATHERINA P (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHERINA
Middle Name:P
Last Name:CHOKA
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:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-0340
Mailing Address - Country:US
Mailing Address - Phone:509-262-9000
Mailing Address - Fax:509-276-3034
Practice Address - Street 1:702 SOUTH PARK
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:WA
Practice Address - Zip Code:99006-0340
Practice Address - Country:US
Practice Address - Phone:509-262-9000
Practice Address - Fax:509-276-3034
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily