Individual
BRIDGET WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 9TH AVE, SEATTLE, WA 98104
(206) 744-8079
Mailing address
PO BOX 50095, SEATTLE, WA 98145
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60709358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184036246
—
WA
Enumeration date
05/23/2014
Last updated
04/12/2017
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