Provider Demographics
NPI:1558953620
Name:ALBERTS-DEWAR, SEUGNET (RN)
Entity Type:Individual
Prefix:
First Name:SEUGNET
Middle Name:
Last Name:ALBERTS-DEWAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19910 10TH PL W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7102
Mailing Address - Country:US
Mailing Address - Phone:206-679-8407
Mailing Address - Fax:
Practice Address - Street 1:19910 10TH PL W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7102
Practice Address - Country:US
Practice Address - Phone:206-679-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00136177163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse