Provider Demographics
NPI:1568853281
Name:SEBESTYEN, ILDIKO (CD)
Entity Type:Individual
Prefix:
First Name:ILDIKO
Middle Name:
Last Name:SEBESTYEN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8037 NE 122ND PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5847
Mailing Address - Country:US
Mailing Address - Phone:718-974-1900
Mailing Address - Fax:
Practice Address - Street 1:8037 NE 122ND PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5847
Practice Address - Country:US
Practice Address - Phone:718-974-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603404189374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula