Provider Demographics
NPI:1104584853
Name:PEREZ, KATRINA MAE LAPID (DNP, ARNP, CPNP-PC)
Entity type:Individual
Prefix:
First Name:KATRINA MAE
Middle Name:LAPID
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DNP, ARNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 31ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-3120
Mailing Address - Country:US
Mailing Address - Phone:469-222-0298
Mailing Address - Fax:
Practice Address - Street 1:22635 NE MARKETPLACE DR STE 120
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-5886
Practice Address - Country:US
Practice Address - Phone:425-898-7408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61167392363LP0200X
WARN60636389163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse