Provider Demographics
NPI:1942577077
Name:CLYMIN, JANINE ROBIN (NP)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:ROBIN
Last Name:CLYMIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22355
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-0355
Mailing Address - Country:US
Mailing Address - Phone:206-322-1050
Mailing Address - Fax:855-253-4830
Practice Address - Street 1:900 UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2797
Practice Address - Country:US
Practice Address - Phone:206-322-1050
Practice Address - Fax:855-253-4830
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60259245363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology