Provider Demographics
NPI:1740151703
Name:KAURIN, MAHARETA PAUBERT
Entity type:Individual
Prefix:
First Name:MAHARETA
Middle Name:PAUBERT
Last Name:KAURIN
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 1:910 130TH ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-2968
Mailing Address - Country:US
Mailing Address - Phone:206-453-8529
Mailing Address - Fax:
Practice Address - Street 1:910 130TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-2968
Practice Address - Country:US
Practice Address - Phone:206-453-8529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60804192164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse