Kim M Larsen, CRNA | |
201 16th Ave E, Seattle, WA 98112-5226 | |
(206) 326-3000 | |
(206) 326-2785 |
Full Name | Kim M Larsen |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 201 16th Ave E, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992768568 | NPI | - | NPPES |
9624594 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN00101261 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP30005016 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Providence Wa Anesthesia Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
Mailing Address | Practice Location Address |
---|---|
Kim M Larsen, CRNA 2043 N 78th St, Seattle, WA 98103 Ph: (206) 234-8169 | Kim M Larsen, CRNA 201 16th Ave E, Seattle, WA 98112-5226 Ph: (206) 326-3000 |
Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260 | |
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009 | |
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144 |