Provider Demographics
NPI:1548389968
Name:BLISS, ROXANNE B (ARNP)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:B
Last Name:BLISS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W 7TH AVENUE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204
Mailing Address - Country:US
Mailing Address - Phone:509-838-2960
Mailing Address - Fax:509-459-0424
Practice Address - Street 1:550 17TH AVE
Practice Address - Street 2:SUITE 680
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5788
Practice Address - Country:US
Practice Address - Phone:206-215-4545
Practice Address - Fax:206-215-4550
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAIT40000970363L00000X
WARN00114273363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner