Individual
HOLLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-7490
Mailing address
P.O BOX 50095, SEATTLE, WA 98145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60043081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-21435
MEDICA
MN
01
—
10091
AVERA
FM
05
—
1069039
—
IA
01
—
2307523
ARAZ
FM
01
—
465R5AN
BCBS
FM
01
—
465R5AN
BLUE PLUS
MN
05
—
958105700
—
MN
01
—
HP50102
HEALTH PARTNERS
FM
01
—
MH9041043467
PPO
MN
Enumeration date
12/01/2005
Last updated
11/23/2010
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