Basic Information
| Provider Information | |||||||||
| NPI: | 1508095035 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SEATTLE ANESTHESIA ASSOCIATES, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | P O BOX 792 | ||||||||
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| City: | ISSAQUAH | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4257361975 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1101 MADISON ST | ||||||||
| Address2: | SUITE 1050 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981041306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065150000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2009 | ||||||||
| LastUpdateDate: | 11/09/2009 | ||||||||
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| AuthorizedOfficialLastName: | BELL | ||||||||
| AuthorizedOfficialFirstName: | JULIANNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4257361975 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | AP 30005564 | WA | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.