Kutzke, Dianne Louise
Kutzke, Dianne Louise is an individual health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kutzke, Dianne Louise can be contacted via phone (425) 339-5456.Contact Information
Primary practice address
3901 Hoyt Ave
Everett WA 98201-4918
Phone: (425) 339-5456
Fax: (425) 869-7201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30001181 | Washington |
Profile Details
NPI number | 1750363628 |
---|---|
LBN Legal business name | Kutzke, Dianne Louise |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | May 22nd, 2015 - about 9 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750363628 | NPPES |
Washington | Other | 7023KU | BLUE SHIELD |
Washington | MEDICAID | 9607276 | BLUE SHIELD |
Washington | Other | 139617 | BLUE SHIELD |
Washington | MEDICAID | 1018078 | BLUE SHIELD |
Washington | Other | 200012131 | BLUE SHIELD |
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