Provider Demographics
NPI:1942664214
Name:BENSON, KAREN ANN (PHD, MS, MN, ARNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:BENSON
Suffix:
Gender:F
Credentials:PHD, MS, MN, ARNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:BENSON-HUCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, MS, MN, ARNP
Mailing Address - Street 1:17103 25TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6124
Mailing Address - Country:US
Mailing Address - Phone:206-396-5942
Mailing Address - Fax:
Practice Address - Street 1:17103 25TH AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-6124
Practice Address - Country:US
Practice Address - Phone:206-396-5942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004154363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health