Provider Demographics
NPI:1881395473
Name:KURIATNYK, STEPHEN M (BSN)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:KURIATNYK
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 FREEDOM LN NE STE 104
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-4704
Mailing Address - Country:US
Mailing Address - Phone:360-952-5252
Mailing Address - Fax:
Practice Address - Street 1:8402 S 114TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-3320
Practice Address - Country:US
Practice Address - Phone:206-683-5881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60382562163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse