Healthcare Provider Details

I. General information

NPI: 1699729509
Provider Name (Legal Business Name): EMILY D TROXELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 BROADWAY SWEDISH NEUROSCIENCE SPECIALISTS
SEATTLE WA
98122-4379
US

IV. Provider business mailing address

747 BROADWAY SWEDISH NEUROSCIENCE SPECIALISTS
SEATTLE WA
98122
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-2800
  • Fax: 206-320-2827
Mailing address:
  • Phone: 206-320-2800
  • Fax: 206-320-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number1082
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA10005224
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: