Shelley Agricola, MD
Individual provider Active NPI Anesthesiology Physician · Bellevue, WA
NPI 1659328326 · NPPES record last updated Nov 9, 2007
Key facts
- NPI
- 1659328326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD00021091 (WA)
- Practice address
- 1035 116TH Ave NE
Bellevue, WA 98004-4604 - Phone
- (425) 451-4141
- Fax
- (425) 451-4144
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00021091 | WA | Yes |
Addresses
Primary practice location
1035 116TH Ave NE
Bellevue, WA 98004-4604
Mailing address
PO Box 24503
Seattle, WA 98124-0503
Phone (425) 451-4141
Other providers in Bellevue, WA
- Santosh A Agnani
- Gabrielle Agnesse
- Arnold Agraviador
- Niharika Agrawal
- Radha Agrawal
- Benjamin Ricardo Aguila
- Elizabeth Yamileth Aguilar Donis
- Mariana Aguilar Hernandez
- Briana Aguirre
- Ruslana A Agusevich
All providers in Bellevue, WA · Anesthesiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.