Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0068566 | MD |
N | 208000000X | Pediatrician | TRN10518 | FL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | D0068566 | MD |
NPI | 1164661427 |
---|---|
Provider Name | Dr. Colleen Elizabeth Annesley |
First Address | Seattle, WA 98105 |
Second Address | Seattle, WA 98105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2009 |
Last Update Date | 16/01/2019 |