Healthcare Provider Details

I. General information

NPI: 1548584873
Provider Name (Legal Business Name): DONNA LEIGH TALAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA LEIGH OANDASAN

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 3RD AVE STE 1100
SEATTLE WA
98101-3207
US

IV. Provider business mailing address

1111 3RD AVE STE 1100
SEATTLE WA
98101-3207
US

V. Phone/Fax

Practice location:
  • Phone: 253-225-8235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN237812
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number78796
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: