Individual
ANDREA VALICOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(800) 540-1814
Mailing address
PO BOX 84571, SEATTLE, WA 98124-5871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1026698
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60537170
WA
Other
Enumeration date
12/20/2014
Last updated
08/21/2015
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