Basic Information
Provider Information
NPI: 1366014235
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALGER
FirstName: JOAN
MiddleName: EUNICE
NamePrefix:  
NameSuffix:  
Credential: RNC-OB
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 747 BROADWAY # 5E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981224307
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 747 BROADWAY
Address2:  
City: SEATTLE
State: WA
PostalCode: 981224307
CountryCode: US
TelephoneNumber: 2063866000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/12/2021
LastUpdateDate: 07/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WX0002XRN00135330WAY Nursing Service ProvidersRegistered NurseObstetric, High-Risk

ID Information
IDTypeStateIssuerDescription
RN0013533001WAWA STATE LICENSEOTHER


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