Provider Demographics
NPI:1043207061
Name:ALSEPT, PAULA ELIZABETH (ARNP)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:ELIZABETH
Last Name:ALSEPT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BELLFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-9162
Mailing Address - Country:US
Mailing Address - Phone:425-743-2363
Mailing Address - Fax:425-917-0705
Practice Address - Street 1:3436 NE 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5645
Practice Address - Country:US
Practice Address - Phone:206-240-5584
Practice Address - Fax:866-453-0617
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006399363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP85552Medicare UPIN