# QUEEN ANNE MEDICAL ASSOCIATES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952574642
- **Authorized official:** DR. LINDA J. GROMKO M.D. (OWNER)
- **Authorized official phone:** (206) 281-7163

## Contact information

- **Practice address:** 200 W MERCER ST, SUITE \#104, SEATTLE, WA 98119-3995
- **Practice address phone:** (206) 281-7163
- **Practice address fax:** (206) 281-5088
- **Mailing address:** 200 W MERCER ST, SUITE \#104, SEATTLE, WA 98119-3995
- **Mailing address phone:** (206) 281-7163
- **Mailing address fax:** (206) 281-5088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00023234 | WA | Yes |
| 363LF0000X | Family Nurse Practitioner | AP30000010 | WA | — |
| 363LF0000X | Family Nurse Practitioner | AP30001206 | WA | — |
| 363LF0000X | Family Nurse Practitioner | AP30003193 | WA | — |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008