Provider Demographics
NPI:1326881897
Name:WORKNEH, GETANEH T
Entity type:Individual
Prefix:
First Name:GETANEH
Middle Name:T
Last Name:WORKNEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12017 E GIBSON RD # B
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5616
Mailing Address - Country:US
Mailing Address - Phone:206-407-9921
Mailing Address - Fax:
Practice Address - Street 1:12017 E GIBSON RD # B
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-5616
Practice Address - Country:US
Practice Address - Phone:206-407-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60925604163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse