Provider Demographics
NPI:1114291556
Name:ERIGERO ALDERKS, JENNE
Entity Type:Individual
Prefix:MRS
First Name:JENNE
Middle Name:
Last Name:ERIGERO ALDERKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:ERIGERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19222 90TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2203
Mailing Address - Country:US
Mailing Address - Phone:206-229-3030
Mailing Address - Fax:
Practice Address - Street 1:19222 90TH AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2203
Practice Address - Country:US
Practice Address - Phone:206-229-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula