Healthcare Provider Details

I. General information

NPI: 1083134050
Provider Name (Legal Business Name): ANIKO JUHASZ RN, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15675 AMBAUM BLVD SW
BURIEN WA
98166-2523
US

IV. Provider business mailing address

11849 25TH AVE S
SEATTLE WA
98168-1207
US

V. Phone/Fax

Practice location:
  • Phone: 206-631-5200
  • Fax:
Mailing address:
  • Phone: 206-795-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00095957
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN0095957
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: