Provider Demographics
NPI:1285718999
Name:GIURGEVICH, PATRICIA LYNN (ARNP, MN, EDD)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNN
Last Name:GIURGEVICH
Suffix:
Gender:F
Credentials:ARNP, MN, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 7TH AVE, 7TH FLOOR
Mailing Address - Street 2:THE POLYCLINIC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-860-4669
Mailing Address - Fax:206-860-2269
Practice Address - Street 1:904 7TH AVE, 7TH FLOOR
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-860-4669
Practice Address - Fax:206-860-2269
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002164363L00000X
WARN00061101163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care