Providence Health & Services-Wa
NPI #1790936185 in Everett, Washington
Provider Information
- NPI Number
- 1790936185
- Entity Type
- Organization
- Organization Name
- Providence Health & Services-Wa
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Oct 4, 2008
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 900 PACIFIC AVE
- Address 2
- FIRST FLOOR
- City
- Everett
- State
- Washington
- ZIP Code
- 98201-4168
- Phone
- (425) 258-7311
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASST SECRETARY-ENROLLMENT
- Phone
- (425) 525-5392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
| Nutritionist - Nutrition, Education — Nutrition, Education |
| Nurse Practitioner |
| General Acute Care Hospital |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
| Nurse Practitioner - Pediatrics — Pediatrics |
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