Individual
MRS. ELAINE ESTHER DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1660 S COLUMBIAN WAY, #128, SEATTLE, WA 98108-1532
(206) 277-3312
(206) 764-2799
Mailing address
6649 SE COUGAR MOUNTAIN WAY, BELLEVUE, WA 98006-5608
(206) 277-3312
(206) 764-2799
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
13-32998-042
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-32998-042
REGISTERED NURSE
KS
Enumeration date
10/16/2006
Last updated
07/08/2007
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