Providence Health & Services-Wa
NPI #1164673554 in Everett, Washington
Provider Information
- NPI Number
- 1164673554
- Entity Type
- Organization
- Organization Name
- Providence Health & Services-Wa
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 4, 2008
- Last Updated
- May 7, 2025
Practice Location
- Address
- 1509 CALIFORNIA ST
- City
- Everett
- State
- Washington
- ZIP Code
- 98201-3540
- Phone
- (425) 297-5770
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASST SECRETARY-ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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