Provider Demographics
NPI:1992129894
Name:LOETHER, ERIN CATHERINE (RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:CATHERINE
Last Name:LOETHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:CATHERINE
Other - Last Name:SUMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 COOPER POINT RD SW STE 19
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-1179
Mailing Address - Country:US
Mailing Address - Phone:564-999-4544
Mailing Address - Fax:
Practice Address - Street 1:1800 COOPER POINT RD SW STE 19
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1179
Practice Address - Country:US
Practice Address - Phone:564-999-4544
Practice Address - Fax:360-763-5071
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60260885163W00000X
WAAP60682781363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse