Individual
PHYLLIS W. CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1600 E JOHN ST, SEATTLE, WA 98112-5222
(206) 326-3255
(206) 326-4415
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30002168
WA
363LG0600X
Gerontology Nurse Practitioner
RN00075573
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9624727
—
WA
Enumeration date
04/11/2007
Last updated
08/07/2009
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