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NPI Code Detail

MEDICARE: MARGARET MADDUX WAKEMAN RN

MEDICARE: MARGARET MADDUX WAKEMAN RN
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 Nurse00105278WA

General Provider Information

NPI Number : 1679818488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET MADDUX WAKEMAN RN
Provider Business Mailing 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 : 206-743-3106
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 : 206-743-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2012
Last Update Date : 12/05/2012

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