Healthcare Provider Details

I. General information

NPI: 1104424662
Provider Name (Legal Business Name): ANA BURCHECI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 164TH AVE NE
REDMOND WA
98052-7604
US

IV. Provider business mailing address

10009 206TH AVE NE
REDMOND WA
98053-5108
US

V. Phone/Fax

Practice location:
  • Phone: 425-504-4777
  • Fax: 425-321-1607
Mailing address:
  • Phone: 916-792-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61098928
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: