Healthcare Provider Details

I. General information

NPI: 1912873902
Provider Name (Legal Business Name): JANICE CAROL LLOYD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 MARTIN LUTHER KING JR WAY S
SEATTLE WA
98108-2182
US

IV. Provider business mailing address

440 MAPLE AVE SW APT A305
RENTON WA
98057-2800
US

V. Phone/Fax

Practice location:
  • Phone: 425-343-9403
  • Fax:
Mailing address:
  • Phone: 425-343-9403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN00153063
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: