Provider Demographics
NPI:1699025353
Name:CORDELL, CHRISTINE RUTH (RN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:RUTH
Last Name:CORDELL
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 1:400 23RD AVE
Mailing Address - Street 2:GARFIELD HIGH SCHOOL
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-6025
Mailing Address - Country:US
Mailing Address - Phone:206-252-2277
Mailing Address - Fax:206-860-0680
Practice Address - Street 1:400 23RD AVE
Practice Address - Street 2:GARFIELD HIGH SCHOOL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6025
Practice Address - Country:US
Practice Address - Phone:206-252-2277
Practice Address - Fax:206-860-0680
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA53027163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse