Provider Demographics
NPI:1427023670
Name:ANDERSEN, DENISE (HEALTH SERVICE TECH)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:HEALTH SERVICE TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USCGC HEALY WAGB 20
Mailing Address - Street 2:1519 ALASKAN WAY SOUTH
Mailing Address - City:SEATTLE
Mailing Address - State:AL
Mailing Address - Zip Code:98134-1192
Mailing Address - Country:US
Mailing Address - Phone:206-217-6300
Mailing Address - Fax:206-217-6309
Practice Address - Street 1:USCGC HEALY WAGB 20
Practice Address - Street 2:1519 ALASKAN WAY SOUTH
Practice Address - City:SEATTLE
Practice Address - State:AL
Practice Address - Zip Code:98134-1192
Practice Address - Country:US
Practice Address - Phone:206-217-6300
Practice Address - Fax:206-217-6309
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other