Viola G Medina in Poulsbo - Nurse Practitioner
Viola G Medina - NPI 1679629661
Viola G Medina is a Nurse Practitioner in Poulsbo, Washington. Viola G Medina practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Viola G Medina is 1679629661. The last update date is 2019-04-10.
Viola G Medina's current location address is Po Box 2940, Poulsbo, Washington. You can contact this provider via phone number 3609790569 and fax number 8778059505. The mailing address for Viola G Medina is Po Box 2940, Poulsbo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Viola G Medina |
|---|---|
| Address | Po Box 2940, Poulsbo, Washington |
| Phone Number | 3609790569 |
| Fax Number | 8778059505 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1679629661 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2019-04-10 |
Provider Mailing Address Detail
| Address | Po Box 2940 |
|---|---|
| City | Poulsbo |
| State | Washington (WA) |
| Post Code | 983702940 |
| Phone Number | 3609790569 |
| Fax Number | 8778059505 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30004058 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39581 | WA | LABOR AND INDUSTRIES # | |
| 9619594 | WA | -- | |
| 359072 | WA | LNI | |
| US2510511 | WA | AETNA SPECIALIST PIN | |
| 7793ME | WA | BLUE SHIELD # | |
| 500017809 | WA | RAILROAD MC# |
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What is the unique identifier code issued to Viola G Medina by the Centers for Medicare & Medicaid Services?
The Viola G Medina has been assigned the NPI (National Provider Identifier) 1679629661. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Viola G Medina located?
The Viola G Medina is located at Po Box 2940, Poulsbo, WA 983702940.
What is the Viola G Medina's specialty and taxonomy code?
The Viola G Medina's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did the Viola G Medina receive its 1679629661?
The Viola G Medina was issued its 1679629661 on 2007-01-25, which is the date when the organization was assigned this unique identifier.
As of what date were the Viola G Medina's details last updated?
The information pertaining to the Viola G Medina, including its address, specialty, and other details, was most recently updated on 2019-04-10.