Basic Information
| Provider Information | |||||||||
| NPI: | 1851433361 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CLAVET | ||||||||
| FirstName: | CHERYL ANN | ||||||||
| MiddleName: | MARY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4701 SW ADMIRAL WAY #22 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069336668 | ||||||||
| FaxNumber: | 2066238825 | ||||||||
| Practice Location | |||||||||
| Address1: | SEATTLE PLASTIC SURGEONS INC | ||||||||
| Address2: | 1221 MADISON ST #1520 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062926226 | ||||||||
| FaxNumber: | 2066238825 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WR0006X | RN00101103 | WA | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.