Provider Demographics
NPI:1639315492
Name:NOGUEIRA, SYLVIA CORREIA (RN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CORREIA
Last Name:NOGUEIRA
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 1:23120 SE BLACK NUGGET RD
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-7339
Mailing Address - Country:US
Mailing Address - Phone:425-677-8580
Mailing Address - Fax:
Practice Address - Street 1:4040 S 188TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-5070
Practice Address - Country:US
Practice Address - Phone:206-277-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60041212163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse