Odessa Ann Bacon in Lakewood - Registered Nurse
Odessa Ann Bacon - NPI 1801077169
Odessa Ann Bacon is a Registered Nurse in Lakewood, Washington. Odessa Ann Bacon practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Odessa Ann Bacon is 1801077169. The last update date is 2019-11-04.
Odessa Ann Bacon's current location address is 9330 59th Ave Sw, Lakewood, Washington. You can contact this provider via phone number 2539365937. The mailing address for Odessa Ann Bacon is 9330 59th Ave Sw, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Odessa Ann Bacon |
|---|---|
| Address | 9330 59th Ave Sw, Lakewood, Washington |
| Phone Number | 2539365937 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ARNP, PMHN |
NPI Number Detail
| NPI Number | 1801077169 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2019-11-04 |
Provider Mailing Address Detail
| Address | 9330 59th Ave Sw |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984992858 |
| Phone Number | 2539365937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN00175337 |
|
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
|
Post Comment/ Review Below
What is the Odessa Ann Bacon's 1801077169?
The Odessa Ann Bacon's NPI (National Provider Identifier) Number is 1801077169. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Odessa Ann Bacon?
The Odessa Ann Bacon is physically situated at 9330 59Th Ave Sw, in the city of Lakewood, state of WA, with the postal code 984992858.
What is the Odessa Ann Bacon's area of specialization and corresponding taxonomy classification?
The Odessa Ann Bacon's specialty field is Registered Nurse, and it falls under the taxonomy code 163W00000X, which categorizes healthcare providers based on their specialties.
When was the Odessa Ann Bacon's 1801077169 issued?
The Odessa Ann Bacon's 1801077169 was issued on 2007-11-15.
When was the Odessa Ann Bacon's information last updated?
The Odessa Ann Bacon's information was last updated on 2019-11-04.