Healthcare Provider Details

I. General information

NPI: 1972534725
Provider Name (Legal Business Name): CAROLINE A. COLEMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 9TH AVE BOX 359750
SEATTLE WA
98104-2420
US

V. Phone/Fax

Practice location:
  • Phone: 206-731-3000
  • Fax:
Mailing address:
  • Phone: 206-744-9888
  • Fax: 206-744-9773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30003691
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30003691
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP30003691
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: