Healthcare Provider Details

I. General information

NPI: 1588748297
Provider Name (Legal Business Name): CAROL ANN HORWITT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 1450
SEATTLE WA
98104-3538
US

IV. Provider business mailing address

PO BOX 34472
SEATTLE WA
98124-1472
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-6300
  • Fax: 206-215-6301
Mailing address:
  • Phone: 206-215-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN00045364
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: