Provider Demographics
NPI:1386108348
Name:DONAHUE, KATE NOEL (ARNP)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:NOEL
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 OLYMPIC DR STE 210
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1778
Mailing Address - Country:US
Mailing Address - Phone:253-372-8635
Mailing Address - Fax:253-276-6624
Practice Address - Street 1:5201 OLYMPIC DR STE 210
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1778
Practice Address - Country:US
Practice Address - Phone:253-372-8635
Practice Address - Fax:253-276-6624
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61048351363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty