Healthcare Provider Details

I. General information

NPI: 1366354482
Provider Name (Legal Business Name): NANCY ANDERSON FAITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY ANDERSON PHARMD

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 13TH ST
EVERETT WA
98201-1689
US

IV. Provider business mailing address

5130 SEAHURST AVE
EVERETT WA
98203-3013
US

V. Phone/Fax

Practice location:
  • Phone: 425-327-8608
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00019869
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: