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Contact Information

ANDREA C FAY, ATC, EMT-B
12616 NE 119TH ST
D4
KIRKLAND, WA98034-4151
 Phone: 206-854-3675
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ANDREA C FAY · (Female)

NPI # 1750342648
Status Active
Credentials ATC, EMT-B
Entity Individual
Enumeration date 03/30/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # B1597244
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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