Provider Demographics
NPI:1528667144
Name:DUPRE, KATHRYN EMILIA (DNP, ARNP, FNP, RN)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:EMILIA
Last Name:DUPRE
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 101ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-1662
Mailing Address - Country:US
Mailing Address - Phone:425-315-3366
Mailing Address - Fax:
Practice Address - Street 1:2120 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4639
Practice Address - Country:US
Practice Address - Phone:360-454-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60671573163W00000X
WAAP61134918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse