Individual
AMANDA JANE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60904876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235473646
—
WA
Enumeration date
11/26/2012
Last updated
11/26/2018
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