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NPI Code Detail

MEDICARE: PATRICIA A. CLEARY ARNP

MEDICARE: PATRICIA A. CLEARY 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
1163W00000XRegistered NurseRN00137079WA
2363LF0000XFamily Nurse PractitionerAP30005949WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10196517OTHERWALABOR & INDUSTRY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346268331
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A. CLEARY ARNP
Provider Business Mailing Address
First Line : 3839 NE 89TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-3742
Country : US
Telephone Number : 206-729-0617
Fax Number : 206-598-7663
Provider Business Practice Location Address
First Line : 531 QUEEN ANNE AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4521
Country : US
Telephone Number : 401-216-4352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 09/08/2025

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