Most Relevant Information
Provider Data
| NPI Number: | 1003353483 |
| Provider Name: | ANA BACIC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 60720095 |
Most Important Dates
| Enumeration Date: | 01/24/2017 |
| Last Updated: | 01/24/2017 |
Provider Practice Location
21600 HIGHWAY 99
SUITE 260
EDMONDS
WA
980268012
Practice Location Phone/Fax
| Phone: | 4257742650 |
| Fax: |
Provider Mailing Location
21600 HIGHWAY 99
SUITE 260
EDMONDS
WA
980268012
Provider Mailing Phone/Fax
| Phone: | 9175661120 |
| Fax: |