MISS TRASANDRA A PETERSEN LMP NPI 1912096272

NPI Information

NPI: 1912096272
Provider Name: MISS TRASANDRA A PETERSEN, LMP
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1500 FAIRVIEW AVE E STE 205
SEATTLE, WA
ZIP 98102
Phone: (360) 878-1633
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MISS Trasandra A Petersen, LMP is a specialist in Seattle, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISS Trasandra A Petersen, LMP NPI is 1912096272. 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:

1500 FAIRVIEW AVE E STE 205
SEATTLE, WA
ZIP 98102-727
Phone: (360) 878-1633

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/17/2017.

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	174400000X	Specialist		MA00022813	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	Other Provider Identifier Issuer
1	0211609	OTHER	WASHINGTON	DEPT OF L & I

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: 11/14/2023

NPI Synchronization or Removal

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