Healthcare Provider Details

I. General information

NPI: 1407480312
Provider Name (Legal Business Name): CAYLA MARIE ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2020
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 1450
SEATTLE WA
98104-3538
US

IV. Provider business mailing address

601 BROADWAY STE 600
SEATTLE WA
98122-5330
US

V. Phone/Fax

Practice location:
  • Phone: 206-844-6001
  • Fax: 206-844-6002
Mailing address:
  • Phone: 206-386-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN60721749
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP61071378
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61071378
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: