Provider Demographics
NPI:1932363900
Name:FELDMAN, FERN ELIZABETH (RN, NP)
Entity Type:Individual
Prefix:
First Name:FERN
Middle Name:ELIZABETH
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6323 21ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6915
Mailing Address - Country:US
Mailing Address - Phone:206-507-6544
Mailing Address - Fax:
Practice Address - Street 1:4548 BROOKLYN AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4537
Practice Address - Country:US
Practice Address - Phone:206-850-5654
Practice Address - Fax:206-926-9226
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18326363L00000X
WAAP30002263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner