Healthcare Provider Details

I. General information

NPI: 1336388578
Provider Name (Legal Business Name): ALICE S. FRIEDMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 COLUMBIAN WAY
SEATTLE WA
98108
US

IV. Provider business mailing address

1660 SOUTH COLUMBIAN WAY
SEATTLE WA
98108
US

V. Phone/Fax

Practice location:
  • Phone: 206-764-2538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number025804AP30002454
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: