Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 22963 | WA |
NPI | 1043315534 |
---|---|
Provider Name | Cathy Fritchen |
First Address | Everett, WA 98206-5127 |
Second Address | Everett, WA 98201-4918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 11/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1079362 | (05) | WA |
A09106 | (02) |