Trasandra A Petersen in Seattle - Specialist

Trasandra A Petersen - NPI 1912096272

Trasandra A Petersen is a Specialist in Seattle, Washington. Trasandra A Petersen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Trasandra A Petersen is 1912096272. The last update date is 2017-11-17.

Trasandra A Petersen's current location address is 1500 Fairview Ave E Ste 205, Seattle, Washington. You can contact this provider via phone number 3608781633. The mailing address for Trasandra A Petersen is 1500 Fairview Ave E Ste 205, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Trasandra A Petersen
Address 1500 Fairview Ave E Ste 205, Seattle, Washington
Phone Number 3608781633
Fax Number
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1912096272
Provider Enumeration Date 2006-10-12
Last Updated Date 2017-11-17

Provider Mailing Address Detail

Address 1500 Fairview Ave E Ste 205
City Seattle
State Washington (WA)
Post Code 981023727
Phone Number 3608781633
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA00022813
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
211609 WA DEPT OF L & I

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FAQs about Trasandra A Petersen

What is the unique identification code assigned to Trasandra A Petersen by the Centers for Medicare & Medicaid Services?

The Trasandra A Petersen has been issued the NPI (National Provider Identifier) 1912096272. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Trasandra A Petersen is located?

The Trasandra A Petersen is situated at the following address: 1500 Fairview Ave E Ste 205, Seattle, WA, 981023727.

What is Trasandra A Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Trasandra A Petersen's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When was the Trasandra A Petersen's 1912096272 issued?

The Trasandra A Petersen's 1912096272 was issued on 2006-10-12.

As of what date was the information regarding Trasandra A Petersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Trasandra A Petersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-11-17.

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