Puente, Jeudiel R.

Puente, Jeudiel R. is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Puente, Jeudiel R. can be contacted via phone (206) 598-4260.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Phone: (206) 598-4260
Fax: (206) 598-8812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00156597 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30006800 Washington

Profile Details

NPI number 1699737395
LBN Legal business name Puente, Jeudiel R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 26th, 2012 - about 12 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 1699737395 NPPES
Washington MEDICAID 9642901
Washington Other 8939758
Washington Other 0191489
Washington Other 62103U

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