MEDICARE: JANET LEWIS CROSMAN 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	AP30005020	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9627993	OTHER	WA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P10009	OTHER	WA	UPIN

General Provider Information

NPI Number	:	1326238130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET LEWIS CROSMAN ARNP

Provider Business Mailing Address
First Line	:	931 25TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4905
Country	:	US
Telephone Number	:	206-322-4424
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 25TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4905
Country	:	US
Telephone Number	:	206-322-4424
Fax Number	:

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	07/27/2007

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