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NPI Code Detail

MEDICARE: ELIZABETH ANNE WING ND

MEDICARE: ELIZABETH ANNE WING ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath

General Provider Information

NPI Number : 1205313194
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE WING ND
Provider Business Mailing Address
First Line : PO BOX 70143
Second Line :
City : SEATTLE
State : WA
Zip : 98127-0143
Country : US
Telephone Number : 845-853-2121
Fax Number :
Provider Business Practice Location Address
First Line : 450 NW GILMAN BLVD STE 201
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2722
Country : US
Telephone Number : 425-391-8091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 07/23/2018

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