Provider Demographics
NPI:1477555266
Name:COHEN, EDITH A (MN, ARNP)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:A
Last Name:COHEN
Suffix:
Gender:F
Credentials:MN, ARNP
Other - Prefix:
Other - First Name:EDIE
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MN, ARNP
Mailing Address - Street 1:313 N 49TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6324
Mailing Address - Country:US
Mailing Address - Phone:206-783-5223
Mailing Address - Fax:
Practice Address - Street 1:313 N 49TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6324
Practice Address - Country:US
Practice Address - Phone:206-853-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002377363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily