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Individual

ISEASA COMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-1111
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00167481
WA
363L00000X
Nurse Practitioner
Primary
AP30007935
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0288492
DEPT OF LABOR AND INDUSTRIES
WA
05
1932382991
WA
01
P01086156
RAILROAD MEDICARE
WA
Enumeration date
12/13/2007
Last updated
11/12/2012
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