Provider Demographics
NPI:1467151597
Name:BESHEWA CONSULTANT AND EDUCATOR PLLC
Entity Type:Organization
Organization Name:BESHEWA CONSULTANT AND EDUCATOR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMNET
Authorized Official - Middle Name:
Authorized Official - Last Name:BIZUNEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-434-5057
Mailing Address - Street 1:14020 SE 17TH PL APT H2
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6035
Mailing Address - Country:US
Mailing Address - Phone:206-434-5057
Mailing Address - Fax:
Practice Address - Street 1:14020 SE 17TH PL APT H2
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6035
Practice Address - Country:US
Practice Address - Phone:206-434-5057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Single Specialty