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NPI Code Detail

MEDICARE: GERALDINE JENNIFER LEE ARNP, LM

MEDICARE: GERALDINE JENNIFER LEE ARNP, LM
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
1176B00000XMidwifeMW00000306WA
2363LF0000XFamily Nurse PractitionerAP60776005WA

General Provider Information

NPI Number : 1265582480
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE JENNIFER LEE ARNP, LM
Provider Business Mailing Address
First Line : 9709 3RD AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2062
Country : US
Telephone Number : 206-525-5777
Fax Number : 206-528-9881
Provider Business Practice Location Address
First Line : 9709 3RD AVE NE FL 2
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2077
Country : US
Telephone Number : 206-525-5777
Fax Number : 206-528-9881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 03/17/2018

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