Provider Demographics
NPI:1851508683
Name:SPAETH, FAINA PULVERMAKHER (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:FAINA
Middle Name:PULVERMAKHER
Last Name:SPAETH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:FAINA
Other - Middle Name:
Other - Last Name:PULVERMAKHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:201 16TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5226
Mailing Address - Country:US
Mailing Address - Phone:206-326-3490
Mailing Address - Fax:206-326-3391
Practice Address - Street 1:201 16TH AVE E
Practice Address - Street 2:CMB, RADIATION ONCOLOGY DEPARTMENT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5226
Practice Address - Country:US
Practice Address - Phone:206-326-4951
Practice Address - Fax:206-326-3391
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007667363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health