Individual
ANNELIESE HERSETH FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2075 BARKLEY BLVD, SUITE 105, BELLINGHAM, WA 98226-6614
(360) 671-3345
(360) 650-1354
Mailing address
709 W ORCHARD DR, SUITE 4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00048880
WA
207Q00000X
Family Medicine Physician
Primary
ML20008318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241356
L&I REGULAR
WA
01
—
2075FL
REGENCE
WA
05
—
8525735
—
WA
01
—
8949110
L&I CRIME VICTIMS
WA
Enumeration date
06/08/2007
Last updated
06/03/2021
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