Katiyo, Winnet

Katiyo, Winnet is an individual health care provider with primary practice located at 1251 Lewis River Rd Ste D , Woodland WA 98674-9203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Katiyo, Winnet can be contacted via phone (360) 225-4310.

Contact Information

Primary practice address
1251 Lewis River Rd Ste D Woodland WA 98674-9203
Fax: (360) 225-4339
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60909332 Washington

Profile Details

NPI number 1992280796
LBN Legal business name Katiyo, Winnet
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2018
Last updated Mar 27th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992280796 NPPES
Washington MEDICAID 2120996

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