Doctor Name: | AUDREY C VAN VOORHIS |
NPI Number: | 1447284690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30004804 |
Business Practice Address: | 147 Madrone Ln N Bainbridge Women's Health Care Clinic Bainbridge Island, WA - 981101862 |
Business Phone Number: | 2068422278 |
Business Fax Number: | 2068425206 |
Mailing Address: | 12982 Roe Rd Ne, BAINBRIDGE ISLAND |
State: | WA |
Postal Code: | 981101204 |
Phone Number: | 2068422278 |
Fax Number: | 2068425206 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AP30004804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |