Healthcare Provider Details

I. General information

NPI: 1740593524
Provider Name (Legal Business Name): CONNIE APRIL WALTON-HOSKINSON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

32631 FINN SETTLEMENT RD
ARLINGTON WA
98223-5529
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4548
  • Fax:
Mailing address:
  • Phone: 360-474-9926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP60161496
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: