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General NPI Number Information
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NPI Number | 1659704435
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Entity Type | Individual
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Provider Name | NAOMI DIMON CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST UNIVERSITY OF WASHINGTON MEDICAL CENTER
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-598-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1902 HARVARD AVE E
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City | SEATTLE
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State | WA
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Zip | 98102-4257
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Country | US
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Telephone | 415-518-2982
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201341156RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 700755
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License Number State | WA
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