MEDICARE: DR. BARBARA ALICE ANDERSON RN, CNM

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	163WC1500X	Community Health Registered Nurse	RN00161629	WA
2	163WM0102X	Maternal Newborn Registered Nurse	RN00161629	WA
3	367A00000X	Advanced Practice Midwife	RN00161629	WA

General Provider Information

NPI Number	:	1942302443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA ALICE ANDERSON RN, CNM

Provider Business Mailing Address
First Line	:	901 12TH AVE
Second Line	:	GARRAND HALL 200C
City	:	SEATTLE
State	:	WA
Zip	:	98122-4411
Country	:	US
Telephone Number	:	206-296-5678
Fax Number	:	206-296-5544

Provider Business Practice Location Address
First Line	:	901 12TH AVE
Second Line	:	GARRAND HALL 200C
City	:	SEATTLE
State	:	WA
Zip	:	98122-4411
Country	:	US
Telephone Number	:	206-296-5678
Fax Number	:	206-296-5544

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

Provider Enumeration Date	:	09/04/2006
Last Update Date	:	09/11/2025

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