Provider Demographics
NPI:1912242769
Name:WHITMAN MIDDLE SCHOOL
Entity Type:Organization
Organization Name:WHITMAN MIDDLE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:AMPARO
Authorized Official - Middle Name:CARVAJAL
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:206-252-1207
Mailing Address - Street 1:9201 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2336
Mailing Address - Country:US
Mailing Address - Phone:206-252-1207
Mailing Address - Fax:206-252-1201
Practice Address - Street 1:9201 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-2336
Practice Address - Country:US
Practice Address - Phone:206-252-1207
Practice Address - Fax:206-252-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARNOOO51898261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health