Provider Demographics
NPI:1245282607
Name:FELDT, KAREN SUE (ARNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:FELDT
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 1:2960 76TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2738
Mailing Address - Country:US
Mailing Address - Phone:206-941-0945
Mailing Address - Fax:206-236-1538
Practice Address - Street 1:2960 76TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2844
Practice Address - Country:US
Practice Address - Phone:206-941-0945
Practice Address - Fax:206-236-1538
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007251163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology