Individual provider · Type 1 NPI
Kevan Michael Petterson, DNP, FNP
Family Nurse Practitioner · Seattle, WA
NPI number
1942894670
Active
Practice location
901 Boren Ave Ste 1900
Seattle, WA 98104-3508
Mailing address
2353 Yale Ave E Unit A
Seattle, WA 98102-3309
Other practice locations
- 2353 Yale Ave E Unit A, Seattle, WA 98102-3309 · (206) 679-7167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 61145175 (WA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1942894670
Kevan Michael Petterson, DNP, FNP's National Provider Identifier is 1942894670, issued on Feb 23, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Seattle, WA. The record was last updated on Feb 23, 2021.