Healthcare Provider Details

I. General information

NPI: 1225070899
Provider Name (Legal Business Name): MARGARET E SEKIJIMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 NE 103RD ST
SEATTLE WA
98125-7521
US

IV. Provider business mailing address

1045 NE 103RD ST
SEATTLE WA
98125-7521
US

V. Phone/Fax

Practice location:
  • Phone: 206-947-4153
  • Fax:
Mailing address:
  • Phone: 206-947-4153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30004147
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: