Healthcare Provider Details

I. General information

NPI: 1659460194
Provider Name (Legal Business Name): ERIN M ALVING MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE MAIL STOP M1-3
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

932 NW 60TH ST
SEATTLE WA
98107-2852
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-4164
  • Fax: 206-987-2720
Mailing address:
  • Phone: 206-987-4164
  • Fax: 206-987-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP30005444
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: