Healthcare Provider Details

I. General information

NPI: 1568200137
Provider Name (Legal Business Name): LYNDSEY JO BICKEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/18/2024
Certification Date: 05/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 NW 50TH ST
SEATTLE WA
98107-3554
US

IV. Provider business mailing address

635 NW 50TH ST UNIT B
SEATTLE WA
98107-3554
US

V. Phone/Fax

Practice location:
  • Phone: 303-518-0243
  • Fax:
Mailing address:
  • Phone: 303-518-0243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License NumberNO
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN60924183
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: