Provider Demographics
NPI:1972324572
Name:MAYA ARTEAGA, ANA CAREN
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CAREN
Last Name:MAYA ARTEAGA
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 1:12356 28TH AVE S
Mailing Address - Street 2:APT C2
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98168
Mailing Address - Country:US
Mailing Address - Phone:206-779-3083
Mailing Address - Fax:
Practice Address - Street 1:12356 28TH AVE S
Practice Address - Street 2:APT C2
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98168
Practice Address - Country:US
Practice Address - Phone:206-779-3083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter