Basic Information
Provider Information
NPI: 1942310172
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAWTON
FirstName: NANCY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3835
Address2:  
City: SEATTLE
State: WA
PostalCode: 98124
CountryCode: US
TelephoneNumber: 2065483114
FaxNumber: 2067626355
Practice Location
Address1: 4400 37TH AVE S
Address2:  
City: SEATTLE
State: WA
PostalCode: 981181609
CountryCode: US
TelephoneNumber: 2064616957
FaxNumber: 2064617810
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 11/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN00063981WAN Nursing Service ProvidersRegistered Nurse 
363L00000XAP30000188WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home