Healthcare Provider Details

I. General information

NPI: 1821140062
Provider Name (Legal Business Name): ADRIENNE S. PAPE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MINOR AVE
SEATTLE WA
98104-2146
US

IV. Provider business mailing address

600 BROADWAY STE 270
SEATTLE WA
98122-5392
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-6000
  • Fax:
Mailing address:
  • Phone: 206-381-0269
  • Fax: 206-829-2083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberANT 9193314
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209.006522
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP60130570
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: