Provider Demographics
NPI:1588297444
Name:GAMMELGAARD, ROSALIE FRANCESCA (AP6106042, RN6009911)
Entity type:Individual
Prefix:
First Name:ROSALIE
Middle Name:FRANCESCA
Last Name:GAMMELGAARD
Suffix:
Gender:F
Credentials:AP6106042, RN6009911
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:FRANCESCA
Other - Last Name:GAMMELGAARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4106 MIDVALE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7916
Mailing Address - Country:US
Mailing Address - Phone:206-387-7437
Mailing Address - Fax:
Practice Address - Street 1:4106 MIDVALE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7916
Practice Address - Country:US
Practice Address - Phone:206-387-7437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP6106042363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health