Provider Demographics
NPI:1629150438
Name:MIELCAREK, BESSIE YOUNG (MD, MPH)
Entity Type:Individual
Prefix:MRS
First Name:BESSIE
Middle Name:YOUNG
Last Name:MIELCAREK
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:BESSIE
Other - Middle Name:ANN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:6530 SYCAMORE AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4846
Mailing Address - Country:US
Mailing Address - Phone:206-720-9877
Mailing Address - Fax:
Practice Address - Street 1:1660 S COLUMBIAN WAY # 111A
Practice Address - Street 2:VA PUGET SOUND HEALTH CARE SYSTEM, RDU-111A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-3586
Practice Address - Fax:206-764-2022
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA26872207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine