MEDICARE: TERA MAE D GILES 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	363LF0000X	Family Nurse Practitioner	AP61078487	WA

General Provider Information

NPI Number	:	1942826045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERA MAE D GILES ARNP

Provider Business Mailing Address
First Line	:	9500 ROOSEVELT WAY NE STE 302
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2253
Country	:	US
Telephone Number	:	509-948-0196
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 DEXTER AVE N # 105
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3517
Country	:	US
Telephone Number	:	866-271-3589
Fax Number	:

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

Provider Enumeration Date	:	06/24/2020
Last Update Date	:	01/19/2026

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