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NPI Code Detail

MEDICARE: MS. D'YETTA WXAN BRANK

MEDICARE: MS. D'YETTA WXAN BRANK
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1407612252
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. D'YETTA WXAN BRANK
Provider Business Mailing Address
First Line : 2133 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2385
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2133 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2385
Country : US
Telephone Number : 206-971-8830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/04/2026

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Directions to “ MS. D'YETTA WXAN BRANK ” Practice Location

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