Andrew Peter Dervan
Internist Clinical Genetics (M.D.)
1959 Ne Pacific St
Seattle
, Washington 98195-6008
Andrew Peter Dervan
Internist Clinical Genetics (M.D.)
1959 Ne Pacific St
Seattle
, Washington 98195-6008
(206) 520-5700
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About
Features
Specialties
- Internist
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Andrew Peter Dervan
- Po Box 50095
- Seattle, WA
- Zip : 98145-5095
- Phone : (206) 520-5700
Second Address
- Andrew Peter Dervan
- 1959 Ne Pacific St
- Seattle, WA
- Zip : 98195-6008
- Phone : (206) 520-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD60391410 | WA |
| N | 111NI0900X | Internist | MD60391410 | WA |
| Y | 207SG0201X | Clinical Genetics (M.D.) | MD60391410 | WA |
National Provider Identifier
| NPI | 1851690614 |
|---|---|
| Provider Name | Andrew Peter Dervan |
| First Address | Seattle, WA 98145-5095 |
| Second Address | Seattle, WA 98195-6008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2011 |
| Last Update Date | 02/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1851690614 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.