Provider Demographics
NPI:1700175205
Name:BEAUDET, NANCY JEAN (CIH)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:BEAUDET
Suffix:
Gender:F
Credentials:CIH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:BOX 359739
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-9379
Mailing Address - Fax:206-744-9935
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359739
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-9379
Practice Address - Fax:206-744-9935
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0223127OtherWA DEPARTMENT LABOR AND INDUSTRIES