Individual
MR. MARK LEWIS ANSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104
(206) 860-5603
(206) 720-7459
Mailing address
2720 E MADISON ST, SEATTLE, WA 98112-4739
(206) 720-2315
(206) 720-2338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007837
WA
363LF0000X
Family Nurse Practitioner
AP30007837
WA
Other
Enumeration date
09/01/2007
Last updated
05/18/2018
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