Individual
BONNIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(503) 866-0594
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60746062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104365105
—
WA
01
—
8964871
MEDICARE PIN
WA
Enumeration date
02/23/2017
Last updated
11/02/2017
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