Individual
REBECCA ELLEN DAVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 17TH AVE STE 500, SEATTLE, WA 98122-5789
(206) 320-2800
Mailing address
165 17TH AVE APT 206, SEATTLE, WA 98122-5754
(253) 514-9625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60461406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN60461406
RN LICENSE
WA
Enumeration date
02/14/2023
Last updated
02/14/2023
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