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Contact Information

KATHLEEN A BERGQUIST, RN
400 S 43RD ST
RENTON, WA98055-5714
 Phone: 425-353-3588
 Fax: 425-353-8041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KATHLEEN A BERGQUIST · (Female)

NPI Number 1063524080
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/31/2006
Last updated 07/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP30004852
  • WA License # RN00042447
  • WA Medicaid 9610106
  • WA Other 0046242 LABOR AND INSDUSTRIES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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