Provider Demographics
NPI:1457724775
Name:WEEKS, BIRGIT PEDERSEN (MSN, RN, AGNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BIRGIT
Middle Name:PEDERSEN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MSN, RN, AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 49TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5252
Mailing Address - Country:US
Mailing Address - Phone:206-972-5693
Mailing Address - Fax:
Practice Address - Street 1:3909 49TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5252
Practice Address - Country:US
Practice Address - Phone:206-972-5693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023629363LA2200X
WARN 102059363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health