Basic Information
Provider Information
NPI: 1306041199
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNN
FirstName: TRISHA
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 BROADWAY FL 6
Address2:  
City: SEATTLE
State: WA
PostalCode: 981225330
CountryCode: US
TelephoneNumber: 2063862600
FaxNumber: 2066221644
Practice Location
Address1: 601 BROADWAY FL 6
Address2:  
City: SEATTLE
State: WA
PostalCode: 981225330
CountryCode: US
TelephoneNumber: 2063862600
FaxNumber: 2066221644
Other Information
ProviderEnumerationDate: 06/20/2007
LastUpdateDate: 02/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WM0705XRN000135932WAN Nursing Service ProvidersRegistered NurseMedical-Surgical
163WR0006XRN000135932WAY Nursing Service ProvidersRegistered NurseRegistered Nurse First Assistant

No ID Information.


Home