Provider Demographics
NPI:1669726154
Name:HARPER, KRISTINE LOREE (RN)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:LOREE
Last Name:HARPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10424 99TH ST SW
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98498-1816
Mailing Address - Country:US
Mailing Address - Phone:253-589-9706
Mailing Address - Fax:
Practice Address - Street 1:54 SENTINEL DR
Practice Address - Street 2:
Practice Address - City:STEILACOOM
Practice Address - State:WA
Practice Address - Zip Code:98388-1663
Practice Address - Country:US
Practice Address - Phone:253-983-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00115806163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool