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NPI Code Detail

MEDICARE: MICHELLE SARAH ANDERSON

MEDICARE: MICHELLE SARAH ANDERSON
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
1363LC0200XCritical Care Medicine Nurse PractitionerAP70088281WA
2363LF0000XFamily Nurse PractitionerAP70088281WA
3363L00000XNurse PractitionerAP70088281WA

General Provider Information

NPI Number : 1023978194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SARAH ANDERSON
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 825 EASTLAKE AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4405
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 01/23/2026

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Directions to “ MICHELLE SARAH ANDERSON ” Practice Location

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