Individual
EDITH A VAN EVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS: M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AP30004460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045VA
INDIVIDUAL BLUE SHIELD
WA
05
—
9644725
—
WA
Enumeration date
02/09/2006
Last updated
04/16/2008
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