MS. ARLENE JOHANNA VANDERDUSSEN


Address: 3123 Fairview Ave E, Suite E, Seattle, WA 98102-3051
Phone: 2063244500

MS. ARLENE JOHANNA VANDERDUSSEN (NPI# 1962592212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962592212
Entity Type Individual
Full Name MS. ARLENE JOHANNA VANDERDUSSEN
Credential ARNP, MN
Practice Address 3123 Fairview Ave E
Suite E
Seattle
WA 98102-3051
Practice Telephone 2063244500
Practice Fax Number 2063281257
Mailing Telephone 2063244500
Mailing Fax Number 2063281257
Enumeration Date 2006-10-14
Last Update Date 2017-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
AP30005951 WA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP30005951 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3123 FAIRVIEW AVE E
SUITE E
City SEATTLE
State WA
Zip Code 98102-3051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043315187 Susan Willis Psychiatry & Neurology 3123 Fairview Ave E, Seattle, WA 98102-3051 2006-09-13
1700275419 Kennedy Therapy Marriage & Family Therapist 3123 Fairview Ave E, Seattle, WA 98102-3051 2015-01-19
1831525518 Olivia Tarr Marriage & Family Therapist 3123 Fairview Ave E, Seattle, WA 98102-3051 2013-09-25
1851664973 Michelle Lee Byrd Counselor 3123 Fairview Ave E, Suite 2a, Seattle, WA 98102-3051 2012-02-21
1063748960 Brien Richard Wood Counselor 3123 Fairview Ave E, Seattle, WA 98102-3051 2009-10-27
1518126457 Stephanie Buell Rooney Psychologist 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 2008-06-05
1265631477 Candice Boley Psychiatry & Neurology 3123 Fairview Ave E, Suite E, Seattle, WA 98102-3051 2007-07-17
1942407358 Carolyn Elizabeth Mangelsdorf Psychologist 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 2007-06-29
1932254992 Shaun Anthony Rich Counselor 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 2007-01-23
1215080858 Charles W Huffine Psychiatry & Neurology 3123 Fairview Ave E, Seattle, WA 98102-3051 2007-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508467549 Karen Adepoju Registered Nurse Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 2020-11-05
1548745250 Lara Lucia Counselor 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 2018-09-27
1801380191 Northwest Integrative Psychotherapy, Inc. P.s. Psychologist 3245 Fairview Ave E Ste 310, Seattle, WA 98102 2018-06-19
1700382488 Sophie Marie Bjorkquist Counselor 431 Boylston Ave E Apt 101, Seattle, WA 98102 2018-04-02
1609309533 Lola Mudgistratova Student in an Organized Health Care Education/Training Program 2339 Boylston Ave W, #2, Seattle, WA 98102 2017-04-07
1013463371 Mamiko Kuriya Dds Ps Clinic/Center 530 Broadway East, Apt #502, Seattle, WA 98102 2016-08-28
1912369638 Kyle M. Forrest Counselor 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 2016-03-22
1215311642 Seattle Therapy Services LLC Occupational Therapist 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 2015-07-15
1134509458 Broadway Dental Center, Inc. Clinic/Center 310 Harvard Ave. E., Seattle, WA 98102 2015-06-02
1871970343 Deborah J. Patterson Counselor 2366 Eastlake Ave. E., #423, Seattle, WA 98102 2015-05-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1356907885 Virtual Allied Remote Diagnostic and Clinical Services Nurse Practitioner 800 Fairview Ave N, Seattle, WA 98109-4412 2019-05-09
1003382763 Shannon Troy Presler Nurse Practitioner 5941 California Ave Sw Apt 105, Seattle, WA 98136-1665 2018-10-21
1629550215 Lance Edward Briggs Nurse Practitioner 5306 Ballard Ave Nw Ste 208, Seattle, WA 98107-4366 2018-08-30
1912400797 Mackenzie Kampa Nurse Practitioner 505 Nw 60th St, Seattle, WA 98107-2143 2018-03-17
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Competitor

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City SEATTLE
Zip Code 98102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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