MEDICARE: ANN LANIGAN ARNP

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
1	363LP2300X	Primary Care Nurse Practitioner	AP30002413	WA

General Provider Information

NPI Number	:	1740391796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN LANIGAN ARNP

Provider Business Mailing Address
First Line	:	2101 E YESLER WAY
Second Line	:	SUITE 210
City	:	SEATTLE
State	:	WA
Zip	:	98122-5959
Country	:	US
Telephone Number	:	206-299-1900
Fax Number	:	206-299-1920

Provider Business Practice Location Address
First Line	:	2101 E YESLER WAY
Second Line	:	SUITE 210
City	:	SEATTLE
State	:	WA
Zip	:	98122-5959
Country	:	US
Telephone Number	:	206-299-1900
Fax Number	:	206-299-1920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/06/2016

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