Healthcare Provider Details

I. General information

NPI: 1316671654
Provider Name (Legal Business Name): ALEXIA RAYEANN WEBSTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 43RD AVE E APT C
SEATTLE WA
98112-2702
US

IV. Provider business mailing address

1420 NE 65TH ST APT 351
SEATTLE WA
98115-6740
US

V. Phone/Fax

Practice location:
  • Phone: 253-507-2912
  • Fax:
Mailing address:
  • Phone: 253-507-2912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN60954329
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN60954329
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN60954329
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: