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NPI Code Detail

MEDICARE: ALEXIA RAYEANN WEBSTER RN

MEDICARE:   ALEXIA RAYEANN WEBSTER  RN
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
1163WP0200XPediatric Registered NurseRN60954329WA
2163WP0807XChild & Adolescent Psychiatric/Mental Health Registered NurseRN60954329WA
3163WP2201XAmbulatory Care Registered NurseRN60954329WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN60954329OTHERWARN LICENSE

General Provider Information

NPI Number : 1316671654
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIA RAYEANN WEBSTER RN
Provider Business Mailing Address
First Line : 1420 NE 65TH ST APT 351
Second Line :
City : SEATTLE
State : WA
Zip : 98115-6740
Country : US
Telephone Number : 253-507-2912
Fax Number :
Provider Business Practice Location Address
First Line : 2005 43RD AVE E APT C
Second Line :
City : SEATTLE
State : WA
Zip : 98112-2702
Country : US
Telephone Number : 253-507-2912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 07/12/2022

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Directions to “ ALEXIA RAYEANN WEBSTER RN” Practice Location

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