Provider Demographics
NPI:1982622171
Name:SCHLATER, MARY ELIZABETH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELIZABETH
Last Name:SCHLATER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-2015
Mailing Address - Fax:206-987-3839
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S G0035
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2015
Practice Address - Fax:206-987-3839
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807251700Medicaid
WA9645474Medicaid
AKNP749WAMedicaid
MT4306559Medicaid
WAP28842Medicare UPIN
MT4306559Medicaid