1053620369 NPI number — GUADALUPE ESTELA HERRERA BCABA

Table of content: GUADALUPE ESTELA HERRERA BCABA (NPI 1053620369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053620369 NPI number — GUADALUPE ESTELA HERRERA BCABA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERRERA
Provider First Name:
GUADALUPE
Provider Middle Name:
ESTELA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BCABA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053620369
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3213 W WHEELER ST STE 302
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98199-3245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-453-4882
Provider Business Mailing Address Fax Number:
206-453-5094

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1570 WILMINGTON DR STE 220
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUPONT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98327-8773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-453-4882
Provider Business Practice Location Address Fax Number:
206-453-5094
Provider Enumeration Date:
10/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106E00000X , with the licence number:  AB60980295 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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