Individual
ANA BACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21600 HIGHWAY 99, SUITE 260, EDMONDS, WA 98026-8012
(425) 774-2650
Mailing address
21600 HIGHWAY 99, SUITE 260, EDMONDS, WA 98026-8012
(917) 566-1120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
60720095
WA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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