Healthcare Provider Details

I. General information

NPI: 1639086333
Provider Name (Legal Business Name): CENTERED CARE NURSE DELEGATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17041 3RD AVE NE
SHORELINE WA
98155-4913
US

IV. Provider business mailing address

17041 3RD AVE NE
SHORELINE WA
98155-4913
US

V. Phone/Fax

Practice location:
  • Phone: 206-992-5450
  • Fax:
Mailing address:
  • Phone: 206-992-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH NGOZICHUKWUKA COLEMAN
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 206-992-5450