Provider Demographics
NPI:1851433361
Name:CLAVET, CHERYL ANN MARY
Entity type:Individual
Prefix:MS
First Name:CHERYL ANN
Middle Name:MARY
Last Name:CLAVET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 SW ADMIRAL WAY #22
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116
Mailing Address - Country:US
Mailing Address - Phone:206-933-6668
Mailing Address - Fax:206-623-8825
Practice Address - Street 1:SEATTLE PLASTIC SURGEONS INC
Practice Address - Street 2:1221 MADISON ST #1520
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-292-6226
Practice Address - Fax:206-623-8825
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00101103163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant