Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ML60019956 | WA |
Y | 2080P0216X | Pediatric Rheumatologist | 60147147 | WA |
NPI | 1689838658 |
---|---|
Provider Name | Dr. Nanci Echeverri Rascoff |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 03/01/2022 |