Individual
RACHAEL A WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00047845
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00047845
WA
363L00000X
Nurse Practitioner
MD00047845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34679100
—
WI
05
—
8481582
—
WA
Enumeration date
03/28/2006
Last updated
05/11/2021
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