Provider Demographics
NPI:1699768648
Name:COURET, MICHEL MARTIN (RN, MSN, ARNP)
Entity type:Individual
Prefix:MR
First Name:MICHEL
Middle Name:MARTIN
Last Name:COURET
Suffix:
Gender:M
Credentials:RN, MSN, ARNP
Other - Prefix:
Other - First Name:MARTY
Other - Middle Name:
Other - Last Name:COURET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:4550 FAUNTLEROY WAY SW STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3471
Mailing Address - Country:US
Mailing Address - Phone:206-933-1041
Mailing Address - Fax:206-933-1047
Practice Address - Street 1:4550 FAUNTLEROY WAY SW STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3471
Practice Address - Country:US
Practice Address - Phone:206-933-1041
Practice Address - Fax:206-933-1047
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00137082163W00000X
WAAP30005767363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1016614Medicaid
WA310608OtherSTATE L&I