Provider Demographics
NPI:1013924505
Name:WILKINSON, KAREN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:WILKINSON
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 1:5720 HILLPOINTE CIR
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER
Practice Address - Street 2:4800 SAND POINT WAY NE M/S B-6553
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-4752
Practice Address - Fax:206-987-3946
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005920363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4301375Medicaid
WA9637562Medicaid
AKNP561WAMedicaid
WAQ48860Medicare UPIN
ID806636000Medicare ID - Type UnspecifiedID MEDICAID
8854857Medicare ID - Type Unspecified