Healthcare Provider Details

I. General information

NPI: 1700821113
Provider Name (Legal Business Name): JUDITH MARGARET OZUNA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY MAIL STOP 127 - NEUROLOGY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

8202 41ST AVE NE
SEATTLE WA
98115-4937
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-6614
  • Fax: 206-764-2802
Mailing address:
  • Phone: 206-523-9120
  • Fax: 206-764-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN00046615
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: