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Contact Information

ANA BACIC
21600 HIGHWAY 99
SUITE 260
EDMONDS, WA98026-8012
 Phone: 425-774-2650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANA BACIC · (Female)

NPI Number 1003353483
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2017
Last updated 01/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60720095
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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