MEDICARE: NANCY SCHUETTE M.D.

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	208000000X	Pediatrics Physician	MD00017971	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578531703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY SCHUETTE M.D.

Provider Business Mailing Address
First Line	:	1145 BROADWAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4201
Country	:	US
Telephone Number	:	206-329-1760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 MADISON ST
Second Line	:	SUITE 910
City	:	SEATTLE
State	:	WA
Zip	:	98104-3588
Country	:	US
Telephone Number	:	206-329-1760
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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