Provider Demographics
NPI:1386466035
Name:SETIEN, DOMINIQUE (HCA)
Entity type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:SETIEN
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 LINDEN AVE N APT 306
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7149
Mailing Address - Country:US
Mailing Address - Phone:206-302-9302
Mailing Address - Fax:
Practice Address - Street 1:11520 GREENWOOD AVE N APT 305
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8661
Practice Address - Country:US
Practice Address - Phone:206-302-9302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61463829376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide