Individual
DR. ALLISON MARIE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MPH, ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4377
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60427019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245644269
—
WA
Enumeration date
06/18/2014
Last updated
11/24/2015
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