MS. DIANNE LOUISE KUTZKE ARNP NPI 1750363628

NPI Information

NPI: 1750363628
Provider Name: MS. DIANNE LOUISE KUTZKE, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3901 HOYT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 339-5456
Get Directions

MS. Dianne Louise Kutzke, ARNP is a family nurse practitioner in Everett, WA. MS. Dianne Louise Kutzke, ARNP NPI is 1750363628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3901 HOYT AVE
EVERETT, WA
ZIP 98201-918
Phone: (425) 339-5456
Fax: (425) 869-7201

The NPI 1750363628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 5/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP30001181	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7023KU	OTHER	WASHINGTON	BLUE SHIELD
2	G8939234	MEDICARE PIN	WASHINGTON
3	9607276	MEDICAID	WASHINGTON
4	139617	OTHER	WASHINGTON	LABOR & INDUSTRIES
5	1018078	MEDICAID	WASHINGTON
6	GAB15195	MEDICARE PIN	WASHINGTON
7	200012131	OTHER	WASHINGTON	MEDICARE RAILROAD
8	S88286	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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