Mariya L Gusenkov is a Family in Federal Way, Washington. Mariya L Gusenkov practices all healthcare services and medical treatments related to Family. The NPI Number for Mariya L Gusenkov is 1942429998. The last update date is 2007-07-09.
Mariya L Gusenkov's current location address is 34509 9th Ave S, Federal Way, Washington. You can contact this provider via phone number 2538381520 and fax number 2538384933. The mailing address for Mariya L Gusenkov is 34509 9th Ave S, Federal Way, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mariya L Gusenkov |
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Address | 34509 9th Ave S, Federal Way, Washington |
Phone Number | 2538381520 |
Fax Number | 2538384933 |
Sole Proprietor | Y |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1942429998 |
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Provider Enumeration Date | 2007-04-25 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 34509 9th Ave S |
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City | Federal Way |
State | Washington (WA) |
Post Code | 980036700 |
Phone Number | 2538381520 |
Fax Number | 2538384933 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | AP30006345 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2159GU | WA | REGENCE BLUE SHIELD | |
9636481 | WA | -- |
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What is the unique 10-digit identification code assigned to Mariya L Gusenkov by the Centers for Medicare & Medicaid Services?
The Mariya L Gusenkov has been issued the NPI (National Provider Identifier) 1942429998, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mariya L Gusenkov?
The Mariya L Gusenkov is situated at 34509 9Th Ave S, in the city of Federal Way, state of WA, with the zip code 980036700.
What is Mariya L Gusenkov's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mariya L Gusenkov is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Mariya L Gusenkov receive its 1942429998 assignment from the Centers for Medicare & Medicaid Services?
The Mariya L Gusenkov was assigned its 1942429998 by the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information regarding Mariya L Gusenkov, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mariya L Gusenkov, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC