Provider Demographics
NPI:1376635201
Name:SCHAINEN, JUDITH SANDRA (NP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:SANDRA
Last Name:SCHAINEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10022 36TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3608
Mailing Address - Country:US
Mailing Address - Phone:253-583-2025
Mailing Address - Fax:253-589-4105
Practice Address - Street 1:9600 VETERANS WAY SOUTH
Practice Address - Street 2:VA PUGET SOUND HEALTH CARE SYSTEM
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493
Practice Address - Country:US
Practice Address - Phone:253-583-2025
Practice Address - Fax:253-589-4105
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003808363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner