Healthcare Provider Details

I. General information

NPI: 1164327144
Provider Name (Legal Business Name): MARIYA VERBITSKAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 62ND AVE SE
SNOHOMISH WA
98296-6952
US

IV. Provider business mailing address

11600 62ND AVE SE
SNOHOMISH WA
98296-6952
US

V. Phone/Fax

Practice location:
  • Phone: 425-478-2256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN60486099
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: