MEDICARE: MS. ELIZABETH ANNE SALTIGERALD

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	163WX1500X	Ostomy Care Registered Nurse	RN.RN.61475195.MSL	WA
2	163WW0000X	Wound Care Registered Nurse	RN.RN.61475195.MSL	WA

General Provider Information

NPI Number	:	1639036221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH ANNE SALTIGERALD

Provider Business Mailing Address
First Line	:	1660 S COLUMBIAN WAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1532
Country	:	US
Telephone Number	:	206-225-8340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 S COLUMBIAN WAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1532
Country	:	US
Telephone Number	:	206-225-8340
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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