Provider Demographics
NPI:1295454924
Name:ANSANH, COURTNEY CHRISTINE (RN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CHRISTINE
Last Name:ANSANH
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 1:27717 150TH PL SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-4368
Mailing Address - Country:US
Mailing Address - Phone:206-380-9831
Mailing Address - Fax:
Practice Address - Street 1:555 16TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5618
Practice Address - Country:US
Practice Address - Phone:206-324-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60091447163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse