Shannon Bergstedt
Registered Nurse, Home Health in Seattle, WA. Individual provider (NPI-1).
NPI number1649366170
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649366170
- Entity type
- Individual (NPI-1)
- Name
- Shannon Bergstedt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 00106415 | WA | Yes |
Practice location
1660 S Columbian WaySeattle, WA 98108-1532
Phone 206-762-1010
Mailing address
10630 Woodhaven LnBellevue, WA 98004-7211
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