Provider Demographics
NPI:1194061366
Name:SEATTLE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:SEATTLE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CONSTANCE
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:206-252-4187
Mailing Address - Street 1:2445 3RD AVE S
Mailing Address - Street 2:PO BOX 34165
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98134-1923
Mailing Address - Country:US
Mailing Address - Phone:206-252-0000
Mailing Address - Fax:
Practice Address - Street 1:11725 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4713
Practice Address - Country:US
Practice Address - Phone:206-252-4187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEATTLE PUBLIC SCHOOLS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00092220163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty