Provider Demographics
NPI:1386910750
Name:KAUTZER, JENEE NICOLE (ARNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:JENEE
Middle Name:NICOLE
Last Name:KAUTZER
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7508 NE 45TH ST APT 13
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6406
Mailing Address - Country:US
Mailing Address - Phone:209-206-2797
Mailing Address - Fax:
Practice Address - Street 1:7508 NE 45TH ST APT 13
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6406
Practice Address - Country:US
Practice Address - Phone:209-206-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61398272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily