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NPI Code Detail

MEDICARE: NORDSTROM INC & SUBSIDIARIES

MEDICARE: NORDSTROM INC & SUBSIDIARIES
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
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1811206329
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORDSTROM INC & SUBSIDIARIES
Provider Business Mailing Address
First Line : 1617 6TH AVE
Second Line : ATTN: PROSTHESIS
City : SEATTLE
State : WA
Zip : 98101-1707
Country : US
Telephone Number : 206-454-4060
Fax Number : 206-454-1279
Provider Business Practice Location Address
First Line : 220 BROADWAY
Second Line :
City : SANTA MONICA
State : CA
Zip : 90401-2371
Country : US
Telephone Number : 310-752-2701
Fax Number :
Authorized Official
Title or Position : PROSTHESIS OFFICE MANAGER
Name : KRESHA B BRITTON
Credential :
Telephone Number : 206-454-4060
Provider Enumeration Date : 09/30/2010
Last Update Date : 06/16/2015

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Directions to “NORDSTROM INC & SUBSIDIARIES ” Practice Location

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