Individual
MS. NANCY E. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4100
Mailing address
1420 E. PINE ST., 301, SEATTLE, WA 98122
(206) 328-6664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5286DO
REGENCE BLUE SHIELD
—
05
—
8343147
—
WA
Enumeration date
11/14/2006
Last updated
06/03/2009
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