Individual
PEGGY A.. MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
(206) 598-8812
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224600
LABOR & INDUSTRY
WA
01
—
23990U
REGENCE BLUESHIELD
WA
05
—
9606997
—
WA
Enumeration date
08/29/2007
Last updated
10/12/2007
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