Provider Demographics
NPI:1164661427
Name:ANNESLEY, COLLEEN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:ELIZABETH
Last Name:ANNESLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SEATTLE CHILDREN'S HOSPITAL
Mailing Address - Street 2:4800 SAND POINT WAY NE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:062-987-2000
Mailing Address - Fax:206-987-3946
Practice Address - Street 1:SEATTLE CHILDREN'S HOSPITAL
Practice Address - Street 2:4800 SAND POINT WAY NE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:062-987-2000
Practice Address - Fax:206-987-3946
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN10518208000000X
MDD00685662080P0207X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics