Provider Demographics
NPI:1053697946
Name:LO, KATHERINE ELIZABETH (ARNP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:LO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:
Other - Last Name:LINDSLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:3101 WESTERN AVE STE 360
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3871
Mailing Address - Country:US
Mailing Address - Phone:206-508-3030
Mailing Address - Fax:206-299-9731
Practice Address - Street 1:3101 WESTERN AVE STE 360
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3871
Practice Address - Country:US
Practice Address - Phone:206-508-3030
Practice Address - Fax:206-299-9731
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60246707363LP0808X
WARN60096980163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse