Healthcare Provider Details

I. General information

NPI: 1295305167
Provider Name (Legal Business Name): ELENA M SCHENSTED BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 37TH AVE S
SEATTLE WA
98118-1609
US

IV. Provider business mailing address

117 20TH AVE E APT 106
SEATTLE WA
98112-5375
US

V. Phone/Fax

Practice location:
  • Phone: 206-296-4650
  • Fax:
Mailing address:
  • Phone: 937-430-3356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN60669703
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: