Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD00031297 | WA |
NPI | 1013086768 |
---|---|
Provider Name | Shirley Andrews |
First Address | Seattle, WA 98133-8414 |
Second Address | Seattle, WA 98133-8414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
160055757 | RAILROAD MEDICARE (01) | |
8014797 | (05) | WA |
AN1976 | REGENCE (01) | WA |
F38443 | (02) |