Individual
THEA J. VERNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
BOX 359945, 325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-1500
(206) 744-1554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30000859
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30000859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155090
L&I PIN
WA
05
—
9600115
—
WA
01
—
UW6007
REGENCE BLUE SHIELD PIN
WA
Enumeration date
07/08/2006
Last updated
06/24/2011
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