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NPI Code Detail

MEDICARE: CHERI D. GAIL ARNP

MEDICARE:   CHERI D. GAIL  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
1363L00000XNurse PractitionerAP30005848WA
2363LA2200XAdult Health Nurse PractitionerAP30005848WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942239108
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERI D. GAIL ARNP
Provider Business Mailing Address
First Line : 1200 12TH AVE S
Second Line : SUITE 901
City : SEATTLE
State : WA
Zip : 98144-2712
Country : US
Telephone Number : 206-548-3114
Fax Number : 206-762-6355
Provider Business Practice Location Address
First Line : 1629 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6701
Country : US
Telephone Number : 206-633-3350
Fax Number : 206-633-3113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 01/27/2016

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Directions to “ CHERI D. GAIL ARNP” Practice Location

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