Healthcare Provider Details

I. General information

NPI: 1285597633
Provider Name (Legal Business Name): DESPIERTA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 S BRANDON ST
SEATTLE WA
98118-2522
US

IV. Provider business mailing address

5275 S BRANDON ST
SEATTLE WA
98118-2522
US

V. Phone/Fax

Practice location:
  • Phone: 206-446-8226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ERIC NELSON
Title or Position: OWNER
Credential: CRNA
Phone: 206-446-8226