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NPI Code Detail

MEDICARE: ANNETTE COLOGNA

MEDICARE: ANNETTE COLOGNA
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 NurseRN00139346WA

General Provider Information

NPI Number : 1447600705
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE COLOGNA
Provider Business Mailing Address
First Line : 6222 5TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98107-2121
Country : US
Telephone Number : 206-617-1872
Fax Number :
Provider Business Practice Location Address
First Line : 1418 NW 65TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5237
Country : US
Telephone Number : 206-252-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2016
Last Update Date : 06/17/2016

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Directions to “ ANNETTE COLOGNA ” Practice Location

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