Provider Demographics
NPI:1194265603
Name:LWIZA, ISABELLA EVA (ARNP, CNM)
Entity type:Individual
Prefix:DR
First Name:ISABELLA
Middle Name:EVA
Last Name:LWIZA
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MADISON ST STE 950
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3592
Mailing Address - Country:US
Mailing Address - Phone:206-682-5800
Mailing Address - Fax:206-233-9657
Practice Address - Street 1:1101 MADISON ST STE 950
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-682-5800
Practice Address - Fax:206-233-9657
Is Sole Proprietor?:No
Enumeration Date:2017-03-02
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60002366163W00000X
WAAP60864628367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse