Individual
PHYLLIS D GEARRING-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
606 OAKESDALE AVE SW STE C200, RENTON, WA 98057-5227
(866) 259-1629
(855) 666-8541
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP30005430
WA
363L00000X
Nurse Practitioner
Primary
AP30005430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214165
L & I
WA
01
—
0235143
STATE L&I
WA
01
—
8942895
CRIME VICTIMS
WA
05
—
9650136
—
WA
Enumeration date
10/16/2006
Last updated
07/26/2022
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