MARY JANE NORBY PAC NPI 1619021458

NPI Information

NPI: 1619021458
Provider Name: MARY JANE NORBY, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
16259 SYLVESTER RD SW
#401
SEATTLE, WA
ZIP 98166
Phone: (206) 241-9465
Get Directions

Mary Jane Norby, PAC is a medical physician assistant in Seattle, WA. Mary Jane Norby, PAC NPI is 1619021458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16259 SYLVESTER RD SW
#401
SEATTLE, WA
ZIP 98166-059
Phone: (206) 241-9465
Fax: (206) 241-9467

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10001310	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P25237	MEDICARE UPIN
2	8348658	MEDICAID	WASHINGTON
3	AB19423	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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