Healthcare Provider Details

I. General information

NPI: 1578428991
Provider Name (Legal Business Name): VIOLET MCNEIL EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 13TH ST
EVERETT WA
98201-1689
US

IV. Provider business mailing address

22109 N RIVER DR
GRANITE FALLS WA
98252-8555
US

V. Phone/Fax

Practice location:
  • Phone: 425-404-5050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number61328232
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: