Basic Information
Provider Information
NPI: 1518341734
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHELL
FirstName: ANNA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1424 BROADWAY
Address2:  
City: EVERETT
State: WA
PostalCode: 982011720
CountryCode: US
TelephoneNumber: 4257892000
FaxNumber:  
Practice Location
Address1: 1424 BROADWAY
Address2:  
City: EVERETT
State: WA
PostalCode: 982011720
CountryCode: US
TelephoneNumber: 4257892000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/17/2015
LastUpdateDate: 07/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X2015024626MON Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XAP61117344WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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