Healthcare Provider Details
I. General information
NPI: 1972581346
Provider Name (Legal Business Name): KARMEN M TRZUPEK M.S., C.G.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/05/2006
Last Update Date: 08/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12053 165TH PL NE
REDMOND WA
98052-2764
US
IV. Provider business mailing address
12053 165TH PL NE
REDMOND WA
98052-2764
US
V. Phone/Fax
- Phone: 425-896-8971
- Fax: 425-896-8971
- Phone: 425-896-8971
- Fax: 425-896-8971
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: