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NPI Code Detail

MEDICARE: MR. WILLIAM DANFORTH ARNP, CS, CWCN

MEDICARE: MR. WILLIAM DANFORTH ARNP, CS, CWCN
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
1363LF0000XFamily Nurse PractitionerAP30006454WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912079914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM DANFORTH ARNP, CS, CWCN
Provider Business Mailing Address
First Line : 11809 SE 66TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98006-6410
Country : US
Telephone Number : 425-443-6232
Fax Number :
Provider Business Practice Location Address
First Line : 500 5TH AVE # 6W
Second Line : JHS-KCCF
City : SEATTLE
State : WA
Zip : 98104-2332
Country : US
Telephone Number : 206-296-1798
Fax Number : 206-296-1771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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