Provider Demographics
NPI:1700178381
Name:STURGILL, KATRINA LYNN (CD)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:LYNN
Last Name:STURGILL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26060 SE 224TH ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-6634
Mailing Address - Country:US
Mailing Address - Phone:206-550-3029
Mailing Address - Fax:
Practice Address - Street 1:26060 SE 224TH ST
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-6634
Practice Address - Country:US
Practice Address - Phone:206-550-3029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603101242374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula