Lisa Carol Ribera is a Medical in Shelton, Washington. Lisa Carol Ribera practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa Carol Ribera is 1922165513. The last update date is 2023-06-06.
Lisa Carol Ribera's current location address is Po Box 1668, Shelton, Washington. You can contact this provider via phone number 3604279549 and fax number 3604622500. The mailing address for Lisa Carol Ribera is Po Box 1668, Shelton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Carol Ribera |
|---|---|
| Address | Po Box 1668, Shelton, Washington |
| Phone Number | 3604279549 |
| Fax Number | 3604622500 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1922165513 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2023-06-06 |
Provider Mailing Address Detail
| Address | Po Box 1668 |
|---|---|
| City | Shelton |
| State | Washington (WA) |
| Post Code | 985845001 |
| Phone Number | 3604279549 |
| Fax Number | 3604622500 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10005025 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA10005025 | WA | PA-C STATE LICENSE | |
| 8477416 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lisa Carol Ribera by the Centers for Medicare & Medicaid Services?
The Lisa Carol Ribera has been issued the NPI (National Provider Identifier) 1922165513, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa Carol Ribera?
The Lisa Carol Ribera is physically situated at Po Box 1668, in the city of Shelton, state of WA, with the postal code 985845001.
What is the Lisa Carol Ribera's area of specialization and corresponding taxonomy classification?
The Lisa Carol Ribera's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa Carol Ribera receive its 1922165513 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Carol Ribera was assigned its 1922165513 by the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date were the Lisa Carol Ribera's details last updated?
The information pertaining to the Lisa Carol Ribera, including its address, specialty, and other details, was most recently updated on 2023-06-06.