Healthcare Provider Details

I. General information

NPI: 1013106822
Provider Name (Legal Business Name): MS. FIORELLA ANDREA GIRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6725 REBECCA CT SE
AUBURN WA
98092-7720
US

IV. Provider business mailing address

6725 REBECCA CT SE
AUBURN WA
98092-7720
US

V. Phone/Fax

Practice location:
  • Phone: 206-445-9495
  • Fax:
Mailing address:
  • Phone: 206-445-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSC60478838
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC9326
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: