Basic Information
| Provider Information | |||||||||
| NPI: | 1164845137 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SLETTVET | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | SCHWARTZ | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13910 121ST AVE NE | ||||||||
| Address2: | |||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980342138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258213259 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3950 KEENE RD | ||||||||
| Address2: | |||||||||
| City: | WEST RICHLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 99353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5099423130 | ||||||||
| FaxNumber: | 5096288335 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2014 | ||||||||
| LastUpdateDate: | 11/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | AP60427508 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1164845137 | 05 | WA | MEDICAID |