Provider Demographics
NPI:1801055454
Name:GRUPP, CATHERINE ANNE (ARNP)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANNE
Last Name:GRUPP
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 1:5413 MERIDIAN AVE N
Mailing Address - Street 2:STE A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6166
Mailing Address - Country:US
Mailing Address - Phone:206-718-4869
Mailing Address - Fax:
Practice Address - Street 1:5413 MERIDIAN AVE N
Practice Address - Street 2:STE A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6166
Practice Address - Country:US
Practice Address - Phone:206-420-8287
Practice Address - Fax:206-588-2466
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007880163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult