Provider Demographics
NPI:1154153815
Name:KAPA, GRAZYNA
Entity type:Individual
Prefix:
First Name:GRAZYNA
Middle Name:
Last Name:KAPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BREMERTON AVE NE # RWA98059
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-5236
Mailing Address - Country:US
Mailing Address - Phone:206-234-3715
Mailing Address - Fax:
Practice Address - Street 1:114 BREMERTON AVE NE # RWA98059
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-5236
Practice Address - Country:US
Practice Address - Phone:206-234-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN1152207163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine