Individual ProviderGleora K FolsomNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Seattle, WA 98101-2756(206) 223-6600(206) 583-6025PECOS EnrollmentBased on the most recent information from CMS, provider Gleora K Folsom does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1548302110Provider TypeIndividualFull NameFolsom, Gleora KCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date2/12/2007Last Updated6/17/2008Contact InformationPractice LocationPractice Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 223-6600FaxUnlisted FaxMailing LocationMailing Address1100 9th Ave, Ms M4-Pa, Seattle, WA 98101-2756Phone(206) 583-6025Fax(206) 515-5886Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP30004950WashingtonProvider IdentifiersIDDescriptionIssuerIDUS0864619DescriptionOtherIssuerAETNA SPECIALIST PINWashingtonIDFO7999DescriptionOtherIssuerBLUE SHIELD #WashingtonID9609553DescriptionMedicaidIssuerUnlistedWashingtonID0167326DescriptionOtherIssuerLABOR AND INDUSTRIES#WashingtonID430059323DescriptionOtherIssuerRAILROAD MC #Washington