Provider Demographics
NPI:1588962708
Name:GLUCKSBERG, ARI (ARI GLUCKSBERG)
Entity type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:GLUCKSBERG
Suffix:
Gender:F
Credentials:ARI GLUCKSBERG
Other - Prefix:
Other - First Name:ARI
Other - Middle Name:
Other - Last Name:GLUCKSBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:HARBORVIEW MEDICAL CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2499
Mailing Address - Country:US
Mailing Address - Phone:206-744-3000
Mailing Address - Fax:206-744-9773
Practice Address - Street 1:325 9TH AVE - EMERGENCY ROOM
Practice Address - Street 2:HARBORVIEW MEDICAL CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2499
Practice Address - Country:US
Practice Address - Phone:206-744-3000
Practice Address - Fax:206-744-9773
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 60198589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily