Individual
ELIZABETH VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
325 9TH AVE, BOX 359724, SEATTLE, WA 98104-2499
(206) 744-8386
(206) 744-8624
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173633
L&I PIN
WA
01
—
33887U
REGENCE BLUE SHIELD PIN
WA
05
—
9609785
—
WA
Enumeration date
06/02/2006
Last updated
06/27/2011
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