Individual
JUDITH E DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP, CRNA
Contact information
Practice address
795 N 5TH AVE, SEQUIM, WA 98382-3080
(360) 683-2010
(360) 683-2320
Mailing address
PO BOX 389674 MSC 18913, TUKWILA, WA 98138-9674
(360) 658-2700
(360) 658-5091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00075669
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006215
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9636507
—
WA
Enumeration date
07/20/2005
Last updated
07/18/2007
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