Provider Demographics
NPI:1932283645
Name:FELDMANN, KRISTIE J (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:J
Last Name:FELDMANN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-320-4476
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:SUITE 1450
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-215-6300
Practice Address - Fax:206-215-6301
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30006593363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner