Basic Information
| Provider Information | |||||||||
| NPI: | 1629116686 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AITKEN | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1417 NW 54TH ST | ||||||||
| Address2: | STE 444 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981073561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538392030 | ||||||||
| FaxNumber: | 2538391071 | ||||||||
| Practice Location | |||||||||
| Address1: | 1417 NW 54TH ST | ||||||||
| Address2: | STE 444 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981073561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069872640 | ||||||||
| FaxNumber: | 2069872720 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2007 | ||||||||
| LastUpdateDate: | 05/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN00159355 | WA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | AP30007083 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 8944501 | 01 | WA | STATE CRIME VICTIMS | OTHER | 0217279 | 01 | WA | STATE L&I | OTHER | 9652488 | 05 | WA | MEDICAID |