Provider Demographics
NPI:1225225063
Name:ROSS, MARCIA GERMAIN (RN CRNI)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:GERMAIN
Last Name:ROSS
Suffix:
Gender:F
Credentials:RN CRNI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 LINCOLN CT NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-8021
Mailing Address - Country:US
Mailing Address - Phone:206-768-5244
Mailing Address - Fax:
Practice Address - Street 1:3606 LINCOLN CT NE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-8021
Practice Address - Country:US
Practice Address - Phone:206-768-5244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00072219163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy