Provider Demographics
NPI:1447847249
Name:SETARGEW, FIKIRTE ADDISU (RN)
Entity type:Individual
Prefix:
First Name:FIKIRTE
Middle Name:ADDISU
Last Name:SETARGEW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 NE 185TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-2104
Mailing Address - Country:US
Mailing Address - Phone:206-856-9131
Mailing Address - Fax:
Practice Address - Street 1:331 NE 185TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-2104
Practice Address - Country:US
Practice Address - Phone:206-856-9131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60289027163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse