Musselman, Mandalyn

Musselman, Mandalyn is an individual health care provider with primary practice located at 11511 Ne 10Th St , Bellevue WA 98004-8578. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Musselman, Mandalyn can be contacted via phone (425) 502-3000.

Contact Information

Primary practice address
11511 Ne 10Th St Bellevue WA 98004-8578
Phone: (425) 502-3000
Fax: (425) 502-3589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP60112321 Washington

Profile Details

NPI number 1194961177
LBN Legal business name Musselman, Mandalyn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2008
Last updated Apr 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194961177 NPPES
Washington MEDICAID 9661992

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