MS. KATHLEEN ANNETTE PUDERBAUGH ARNP
NPI 1366433864
Nurse Practitioner - Women's Health in Everson, WA

Active since November 02, 2005
6760 MISSION RD, EVERSON, WA 98247(360) 966-2106(360) 966-2304 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Annette Puderbaugh Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN ANNETTE PUDERBAUGH ARNP (NPI 1366433864) is an individual women's health provider in Everson, Washington, licensed in Washington (AP30003425) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1366433864
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. KATHLEEN ANNETTE PUDERBAUGHCredential: ARNP
Location Address6760 MISSION RDEverson, WA 98247-9749
Mailing Address6432 Olson RdFerndale, WA 98248-8514 · (360) 383-0693 · Fax (360) 383-0838
Fax(360) 966-2304
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 21, 2011
NPI 1366433864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in WA · AP30003425
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP30003425 (WA)
6760 MISSION RD, Everson, WA 98247

Other Identifiers 1

Medicare UPINPO4196WA

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
6760 MISSION RD
EVERSON, WA 98247
Family Medicine
6760 MISSION RD
EVERSON, WA 98247
Counselor (Mental Health)
6760 MISSION RD
EVERSON, WA 98247
Dentist
6760 MISSION RD
EVERSON, WA 98247
Psychologist
6760 MISSION RD
EVERSON, WA 98247
Family Medicine
6760 MISSION RD
EVERSON, WA 98247
Family Medicine
6760 MISSION RD
EVERSON, WA 98247
Dentist
6760 MISSION RD
EVERSON, WA 98247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Puderbaugh's NPI number?

The NPI number for Kathleen Puderbaugh is 1366433864. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Kathleen Puderbaugh located?

Kathleen Puderbaugh practices at 6760 Mission Rd, Everson, WA 98247. The listed phone number is (360) 966-2106.

What is Kathleen Puderbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kathleen Puderbaugh was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.