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General NPI Number Information
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NPI Number | 1689120271
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Entity Type | Individual
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Provider Name | ALYSSA ERICKSON-WAYMAN NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 2671 NE 46TH ST
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City | SEATTLE
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State | WA
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Zip | 98105
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Country | US
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Telephone | 206-525-8000
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Fax | 206-525-8070
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Provider Business Mailing Address
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Address Line | 2671 NE 46TH ST
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City | SEATTLE
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State | WA
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Zip | 98105-5041
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Country | US
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Telephone | 206-525-8000
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Fax | 206-525-8070
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F341043-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP 60650389
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11727972-4405
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License Number State | UT
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