Provider Demographics
NPI:1093754004
Name:SCHWIND, DENICE (PA-C)
Entity Type:Individual
Prefix:
First Name:DENICE
Middle Name:
Last Name:SCHWIND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DENICE
Other - Middle Name:
Other - Last Name:SARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1101 MADISON ST
Mailing Address - Street 2:SUITE 1490
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1306
Mailing Address - Country:US
Mailing Address - Phone:206-215-6600
Mailing Address - Fax:206-215-6650
Practice Address - Street 1:1101 MADISON ST
Practice Address - Street 2:SUITE 1490
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1306
Practice Address - Country:US
Practice Address - Phone:206-215-6600
Practice Address - Fax:206-215-6650
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10004035207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0008850164Medicare ID - Type Unspecified