Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services-Wa

Organization Registered Nurse · NPI 1972819175

Providence Health & Services-Wa is a Registered Nurse in Everett, Washington. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
4

Practice location Address checks out

3305 Nassau St
Everett, WA 98201-4140
Phone: (425) 261-3838
Fax: (425) 261-3848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Registered Nurse Taxonomy 163W00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1972819175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary-Enrollment · (425) 358-9786
NPI enumeratedAugust 25, 2010
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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