MEDICARE: ORIANA SOUERS-DILLEY ARNP

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	363LP0200X	Pediatric Nurse Practitioner	AP60138163	WA

General Provider Information

NPI Number	:	1750528279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORIANA SOUERS-DILLEY ARNP

Provider Business Mailing Address
First Line	:	5400 CALIFORNIA AVE SW
Second Line	:	SUITE F
City	:	SEATTLE
State	:	WA
Zip	:	98136-1501
Country	:	US
Telephone Number	:	206-420-3429
Fax Number	:	206-327-9806

Provider Business Practice Location Address
First Line	:	5400 CALIFORNIA AVE SW
Second Line	:	SUITE F
City	:	SEATTLE
State	:	WA
Zip	:	98136-1501
Country	:	US
Telephone Number	:	206-420-3429
Fax Number	:	206-327-9806

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

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	02/13/2012

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