Healthcare Provider Details
I. General information
NPI: 1407516057
Provider Name (Legal Business Name): ANNA BARRY NOSETTI ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/22/2021
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 116TH AVE NE STE C
BELLEVUE WA
98004-3802
US
IV. Provider business mailing address
1200 116TH AVE NE STE C
BELLEVUE WA
98004-3802
US
V. Phone/Fax
- Phone: 425-451-0404
- Fax: 833-371-1483
- Phone: 425-451-0404
- Fax: 833-371-1483
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | NT61249760 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: