Individual
GLEORA K FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167326
LABOR AND INDUSTRIES#
WA
01
—
430059323
RAILROAD MC #
WA
05
—
9609553
—
WA
01
—
FO7999
BLUE SHIELD #
WA
01
—
US0864619
AETNA SPECIALIST PIN
WA
Enumeration date
02/12/2007
Last updated
06/17/2008
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