Provider Demographics
NPI:1003900846
Name:FOOTE, CLAIRE R (ARNP BC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:R
Last Name:FOOTE
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 N NORTHLAKE WAY
Mailing Address - Street 2:SUITE E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8900
Mailing Address - Country:US
Mailing Address - Phone:206-448-8944
Mailing Address - Fax:
Practice Address - Street 1:1333 N NORTHLAKE WAY
Practice Address - Street 2:SUITE E
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8900
Practice Address - Country:US
Practice Address - Phone:206-448-8944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP31346363LP0808X
WARN52995363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health