BRUCE ALLEN WYLLIE (NPI# 1063677813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063677813 |
| Entity Type | Individual |
| Full Name | BRUCE ALLEN WYLLIE |
| Credential | ARNP |
| Practice Address |
1660 S. Columbian Way Va Puget Sound Health Care System Seattle WA 98108-1597 |
| Practice Telephone | 2067642051 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60027401 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1660 S. COLUMBIAN WAY VA PUGET SOUND HEALTH CARE SYSTEM |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144339078 | Lucy Y Wang | Psychiatry & Neurology | 1660 S. Columbian Way, S-116-mhc, Seattle, WA 98108 | 2006-08-30 |
| 1598230013 | Aaron Martin Norr | Psychologist | 1660 S. Columbian Way, S-116 Mhc, Seattle, WA 98108 | 2018-10-11 |
| 1326537218 | Teresa Joy Townsend | Occupational Therapist | 1660 S. Columbian Way, Ms Sci-128, Seattle, WA 98108 | 2018-05-07 |
| 1205214194 | Jean Kim | Psychologist | 1660 S. Columbian Way, S-116-mhc, Seattle, WA 98108-1597 | 2015-05-11 |
| 1619058666 | Tara May Stablein | Social Worker | 1660 S. Columbian Way, Seattle, WA 98108 | 2006-10-18 |
| 1083700322 | Margaret Campbell Hammond | Physical Medicine & Rehabilitation | 1660 S. Columbian Way, Sci 128nat, Seattle, WA 98108 | 2006-10-05 |
| 1821183575 | Annie S. Chiu Cheng | Physical Medicine & Rehabilitation | 1660 S. Columbian Way, S-117-rcs, Seattle, WA 98108-1597 | 2006-10-04 |
| 1174619886 | Vincent Sh-yeh Fan | Internal Medicine | 1660 S. Columbian Way, Va Puget Sound Health Care System, Seattle, WA 98108 | 2006-10-04 |
| 1205921673 | David Jonathan Glickerman | Radiology | 1660 S. Columbian Way, (113), Seattle, WA 98108 | 2006-10-03 |
| 1437244829 | Alice Marie Hansen | Respiratory Therapist, Registered | 1660 S. Columbian Way, Seattle, WA 98332 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 1225647381 | Donica Liwanag Badua | Nurse Practitioner | 819 Virginia St Unit 2605, Seattle, WA 98101-4430 | 2020-07-24 |
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1306485370 | Samuelle Genevievre Inevil | Nurse Practitioner | 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 | 2019-12-23 |
| 1841838422 | Rachel Sasinowski Herrmann | Nurse Practitioner | 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 | 2019-12-14 |
| 1265085542 | Hyunjoo Hannah Bae | Nurse Practitioner | 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 | 2019-07-16 |
| 1699247874 | Brien Claes Barrett | Nurse Practitioner | 10315 Stone Ave N, Seattle, WA 98133-9419 | 2018-12-28 |
| 1730662057 | Heather Renee Grods | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2018-09-12 |
| 1639651086 | Amanda Matthews | Nurse Practitioner | 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 | 2018-09-02 |
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| 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.