Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EILEEN GWENDOLYN PETRIE, CDPT
ActiveEILEEN GWENDOLYN PETRIE, CDPT is a Student (Health Education/Training) healthcare provider located in FEDERAL WAY, Washington. NPI 1316572829 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1316572829
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2020 (6.4080932731848 yrs)
- Last Updated
- Mar 4, 2020
- License
-
CO60371115 (WA)
Practice Information
- Address
-
30620 PACIFIC HWY S STE 107FEDERAL WAY, WA, 980034888Browse WA providers · Browse ZIP 98003
- Phone
- 2539417555
- Fax
- 2539410652
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| KAREN OGILVIE BRYAN | J.D., M.A., LMHCA | 1275883241 |
| MR. SIMRANJIT SINGH LONGIA | MEDICAL STUDENT (3RD | 1235537739 |
| REBECCA KEDIGH | — | 1518346659 |
| RACHELLE MANGLALLAN | — | 1518323757 |
| RICHARD AYALA III | — | 1467806075 |
| BAO G DO | — | 1558892307 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.