Provider Demographics
NPI:1366781221
Name:UOMOTO, ANN SHEPARD (RN-BSN)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:SHEPARD
Last Name:UOMOTO
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 14TH AVE S
Mailing Address - Street 2:BEACON HILL INTERNATIONAL SCHOOL
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2025 14TH AVE S
Practice Address - Street 2:BEACON HILL INTERNATIONAL SCHOOL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4205
Practice Address - Country:US
Practice Address - Phone:206-252-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00061847163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse