Healthcare Provider Details

I. General information

NPI: 1366124182
Provider Name (Legal Business Name): ALEXANDRA ELIZABETH BJERGO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-2305
US

IV. Provider business mailing address

3410 21ST AVE W UNIT A
SEATTLE WA
98199-2305
US

V. Phone/Fax

Practice location:
  • Phone: 360-904-9762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN60927331
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: