Provider Demographics
NPI:1902857089
Name:KUHNS, MARY L D (ARNP/NNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:L D
Last Name:KUHNS
Suffix:
Gender:F
Credentials:ARNP/NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 NW BOULDER PL
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5645
Mailing Address - Country:US
Mailing Address - Phone:509-952-9154
Mailing Address - Fax:426-427-0926
Practice Address - Street 1:315 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:MS Z0-NTL
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4234
Practice Address - Country:US
Practice Address - Phone:253-403-1019
Practice Address - Fax:253-403-1686
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003110363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAARNP AP30003110OtherARNP LICENSE
WARN 00060394OtherRN LICENSE
WAMK0744955OtherDEA NUMBER