MEDICARE: CAMELIA ADES ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP60116861	WA

General Provider Information

NPI Number	:	1023344785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMELIA ADES ARNP

Provider Business Mailing Address
First Line	:	810 TAYLOR AVE N
Second Line	:	# 122
City	:	SEATTLE
State	:	WA
Zip	:	98109-3935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 TAYLOR AVE N
Second Line	:	# 122
City	:	SEATTLE
State	:	WA
Zip	:	98109-3935
Country	:	US
Telephone Number	:	206-937-1644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2009
Last Update Date	:	10/29/2009

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