Provider Demographics
NPI:1689083032
Name:HIGHLANDER, KRISTINE ELLYN (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:ELLYN
Last Name:HIGHLANDER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:ELLYN
Other - Last Name:KENNAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4725-38TH AVE NE
Mailing Address - Street 2:NAVOS INPATIENT SERVICES
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126
Mailing Address - Country:US
Mailing Address - Phone:206-933-7200
Mailing Address - Fax:
Practice Address - Street 1:2600 SW HOLDEN ST.
Practice Address - Street 2:NAVOS INPATIENT SERVICES
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126
Practice Address - Country:US
Practice Address - Phone:206-933-7200
Practice Address - Fax:206-933-7250
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60491294363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health