Provider Demographics
NPI:1235707662
Name:ANNA EVERSHED ND PLLC
Entity Type:Organization
Organization Name:ANNA EVERSHED ND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARINDA
Authorized Official - Last Name:EVERSHED
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-240-0896
Mailing Address - Street 1:13805 NE 71ST PL
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-9435
Mailing Address - Country:US
Mailing Address - Phone:206-240-0896
Mailing Address - Fax:
Practice Address - Street 1:12911 120TH AVE NE STE E50
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3046
Practice Address - Country:US
Practice Address - Phone:425-820-7700
Practice Address - Fax:425-820-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care