1609932508 NPI number — SALLY LOVELLE AVENSON ARNP, CNM

Table of content: SALLY LOVELLE AVENSON ARNP, CNM (NPI 1609932508)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609932508 NPI number — SALLY LOVELLE AVENSON ARNP, CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AVENSON
Provider First Name:
SALLY
Provider Middle Name:
LOVELLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP, CNM
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:
1609932508
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7602 6TH AVE NE
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:
98115-4130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-527-8773
Provider Business Mailing Address Fax Number:
206-517-4224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7602 6TH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98115-4130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-527-8773
Provider Business Practice Location Address Fax Number:
206-517-4224
Provider Enumeration Date:
12/28/2006

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: 163WM0102X , with the licence number:  RN00052841 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 176B00000X , with the licence number: AP30000503 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 9601592 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".