Provider Demographics
NPI:1245869734
Name:ORCHARD, PHILOMENA J (RN,BSN)
Entity type:Individual
Prefix:
First Name:PHILOMENA
Middle Name:J
Last Name:ORCHARD
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:PHIOMENA
Other - Middle Name:J
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:8915 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-4813
Mailing Address - Country:US
Mailing Address - Phone:206-764-8065
Mailing Address - Fax:
Practice Address - Street 1:8915 14TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4813
Practice Address - Country:US
Practice Address - Phone:206-764-8065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61021613163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse