Basic Information
| Provider Information | |||||||||
| NPI: | 1467447391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRAFFT | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | O | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 322 W NORTH RIVER DR | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992013208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093246464 | ||||||||
| FaxNumber: | 5092412056 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 W 8TH AVE STE 7010 | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992042312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093533901 | ||||||||
| FaxNumber: | 5092277070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2005 | ||||||||
| LastUpdateDate: | 05/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | AP30006274 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.