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NPI Code Detail

MEDICARE: MRS. ANA ISABEL HUSTON FNP

MEDICARE: MRS. ANA ISABEL HUSTON FNP
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
1363LF0000XFamily Nurse Practitioner16462CA
2363LF0000XFamily Nurse Practitioner60073729WA

General Provider Information

NPI Number : 1578750048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANA ISABEL HUSTON FNP
Provider Business Mailing Address
First Line : 1145 BROADWAY
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4201
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 1200 112TH AVE NE STE C160
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-3742
Country : US
Telephone Number : 425-453-1039
Fax Number : 425-453-8955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2007
Last Update Date : 09/27/2023

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