Doctor Name: | DONA AHRENS |
NPI Number: | 1023207669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | PA10002571 |
Business Practice Address: | 3555 Monte Villa Pkwy Bothell, WA - 980218982 |
Business Phone Number: | 4252882105 |
Business Fax Number: | |
Mailing Address: | 108 N 38th Pl, MOUNT VERNON |
State: | WA |
Postal Code: | 982739402 |
Phone Number: | 3608480343 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 10/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA10002571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |