Provider Demographics
NPI:1801212659
Name:ALEJANDRO, AILEEN NAVARRO
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:NAVARRO
Last Name:ALEJANDRO
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 1:8536 S 117TH PL
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-4010
Mailing Address - Country:US
Mailing Address - Phone:206-432-9677
Mailing Address - Fax:206-432-9677
Practice Address - Street 1:8536 S 117TH PL
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-4010
Practice Address - Country:US
Practice Address - Phone:206-432-9677
Practice Address - Fax:206-432-9677
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA751965376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator