Provider Demographics
NPI:1659460194
Name:ALVING, ERIN M (MSN)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:M
Last Name:ALVING
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 NW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2852
Mailing Address - Country:US
Mailing Address - Phone:206-987-4164
Mailing Address - Fax:206-987-2720
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:MAIL STOP M1-3
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-4164
Practice Address - Fax:206-987-2720
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005444363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4300907Medicaid
AKNP347WAMedicaid
WA9627654Medicaid
ID806599200Medicaid
MT4300907Medicaid
AKNP347WAMedicaid