Provider Demographics
NPI:1326751884
Name:WOLDEYES, SENAIT BELETE
Entity Type:Individual
Prefix:
First Name:SENAIT
Middle Name:BELETE
Last Name:WOLDEYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13412 60TH DR SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-9461
Mailing Address - Country:US
Mailing Address - Phone:206-816-2470
Mailing Address - Fax:425-948-7977
Practice Address - Street 1:13412 60TH DR SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-9461
Practice Address - Country:US
Practice Address - Phone:206-816-2470
Practice Address - Fax:425-948-7977
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN603349902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse