Individual provider · Type 1 NPI
Kosuke Niitsu, PhD, ARNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Bothell, WA
NPI number
1073059259
Active
Practice location
17927 113th Ave NE
Bothell, WA 98011-7909
Fax (425) 352-3581
Mailing address
18115 Campus Way NE, Box 358555
Bothell, WA 98011
Other practice locations
- 12348 East Mountview Bldv 2nd Floor, Aurora, CO 80045 · (303) 724-6242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0000823-C-NP (CO) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G145896 (IA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 111689 (NE) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60989975 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073059259
Kosuke Niitsu, PhD, ARNP, PMHNP-BC's National Provider Identifier is 1073059259, issued on Jan 12, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bothell, WA. The record was last updated on Oct 15, 2023.