Healthcare Provider Details

I. General information

NPI: 1467785402
Provider Name (Legal Business Name): LINDSAY RACHEL JANDL A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 112TH AVE NE BLDG C, SUITE 115
BELLEVUE WA
98004-3732
US

IV. Provider business mailing address

1017 N 50TH ST APT A
SEATTLE WA
98103-6608
US

V. Phone/Fax

Practice location:
  • Phone: 425-455-0244
  • Fax: 425-455-9411
Mailing address:
  • Phone: 425-802-5204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP60112442
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: