Basic Information
| Provider Information | |||||||||
| NPI: | 1134728777 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILDERBRAND | ||||||||
| FirstName: | CARA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | RN, SANE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14341 LINDEN AVE N UNIT G201 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981336929 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 4800 SAND POINT WAY NE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981053901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069872000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2020 | ||||||||
| LastUpdateDate: | 10/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0200X | RN60177869 | WA | N | Nursing Service Providers | Registered Nurse | Pediatrics | 163WP0807X | RN60177869 | WA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent | 163WA0400X | RN60177869 | WA | N | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) | 163WP0808X | RN60177869 | WA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 163WP0809X | RN60177869 | WA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult | 163WW0101X | RN60177869 | WA | N | Nursing Service Providers | Registered Nurse | Women's Health Care, Ambulatory | 163WC0200X | RN60177869 | WA | Y | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No ID Information.