Provider Demographics
NPI:1538040449
Name:BRAMBILA, KATHERINE FROST
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:FROST
Last Name:BRAMBILA
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 1:21706 N GREENBLUFF CIR
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9568
Mailing Address - Country:US
Mailing Address - Phone:509-710-9946
Mailing Address - Fax:
Practice Address - Street 1:21706 N GREENBLUFF CIR
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9568
Practice Address - Country:US
Practice Address - Phone:509-710-9946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID176B00000X
WA176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife