Individual
DR. ANNE MARIE MANICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4615
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00039792
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00039792
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063451079
—
WA
01
—
8860300
MEDICARE PIN
WA
Enumeration date
06/02/2006
Last updated
11/01/2017
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