Provider Demographics
NPI: | 1902036874 |
---|---|
Name: | SWITZER, VIRGINIA M (ARNP, RN) |
Entity type: | Individual |
Prefix: | MS |
First Name: | VIRGINIA |
Middle Name: | M |
Last Name: | SWITZER |
Suffix: | |
Gender: | F |
Credentials: | ARNP, RN |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 12649 NE 2ND ST |
Mailing Address - Street 2: | |
Mailing Address - City: | BELLEVUE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98005-3206 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 425-688-8444 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 12649 NE 2ND ST |
Practice Address - Street 2: | |
Practice Address - City: | BELLEVUE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98005-3206 |
Practice Address - Country: | US |
Practice Address - Phone: | 425-688-8444 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2009-07-24 |
Last Update Date: | 2009-07-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | RN 00063000 | 163WI0600X |
WA | AP30001380 | 363LF0000X, 363LX0106X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 163WI0600X | Nursing Service Providers | Registered Nurse | Infection Control |
No | 363LX0106X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Occupational Health |