NPI 1104916063 · live from the CMS NPI Registry
Teresa A Brentnall
Internal Medicine, Gastroenterology in Seattle, WA. National Provider Identifier 1104916063, active.
NPI record
| NPI | 1104916063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | University Of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195 |
| Practice phone | 206-598-4377 |
| Mailing address | Po Box 50095, Seattle, WA 98145 |
| Enumerated | October 13, 2006 |
| Last updated | December 28, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD00029112 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.