Provider Demographics
NPI:1760545529
Name:ALBRIGHT, ANGELIA LUNA
Entity Type:Individual
Prefix:MRS
First Name:ANGELIA
Middle Name:LUNA
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 ALASKAN WAY S
Mailing Address - Street 2:ISC SEATTLE MEDICAL
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98134-1102
Mailing Address - Country:US
Mailing Address - Phone:206-217-6432
Mailing Address - Fax:206-217-6444
Practice Address - Street 1:1519 ALASKAN WAY S
Practice Address - Street 2:ISC SEATTLE MEDICAL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1102
Practice Address - Country:US
Practice Address - Phone:206-217-6432
Practice Address - Fax:206-217-6444
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00059581164W00000X
247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other