Provider Demographics
NPI:1326238130
Name:CROSMAN, JANET LEWIS (ARNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LEWIS
Last Name:CROSMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4905
Mailing Address - Country:US
Mailing Address - Phone:206-322-4424
Mailing Address - Fax:
Practice Address - Street 1:931 25TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4905
Practice Address - Country:US
Practice Address - Phone:206-322-4424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005020363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9627993OtherMEDICARE
WAP10009OtherUPIN