| Katherine Dodge, MSN | |
|
4686 Pointes Dr, Mukilteo, WA 98275-6038 | |
| (425) 405-8089 | |
| Not Available |
| Full Name | Katherine Dodge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 4686 Pointes Dr, Mukilteo, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972223733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN60925290 (Washington) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | AP61362728 (Washington) | Primary |
| Entity Name | Novari Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598272155 PECOS PAC ID: 3476815051 Enrollment ID: O20180319002305 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Dodge, MSN 1301 1st Ave Apt 2507, Seattle, WA 98101-2158 Ph: (714) 326-2971 | Katherine Dodge, MSN 4686 Pointes Dr, Mukilteo, WA 98275-6038 Ph: (425) 405-8089 |
Jane A Jacobson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10200 Mukilteo Speedway, Mukilteo, WA 98275 Phone: 425-525-6325 | |
Shih-yu Chou, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6018 | |
Jeanne M Bourget, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-388-6004 | |
Lynette M Wachholz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-388-6002 | |
Ji-young Kim, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6030 | |
Nicole Kraker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10200 Mukilteo Speedway, Mukilteo, WA 98275 Phone: 888-227-3312 | |
Nicole Cabardo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4686 Pointes Dr, Mukilteo, WA 98275 Phone: 425-405-8089 |