is a Family in Pasco, Washington. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1831356765. The last update date is .
's current location address is 2000 N 22nd Ave, Pasco, Washington. You can contact this provider via phone number 5095472466. The mailing address for is 2000 N 22nd Ave, Pasco, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2000 N 22nd Ave, Pasco, Washington |
| Phone Number | 5095472466 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831356765 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2000 N 22nd Ave |
|---|---|
| City | Pasco |
| State | Washington (WA) |
| Post Code | 993013370 |
| Phone Number | 5095472466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP60017212 |
|
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 |
|---|---|---|---|
| 965-7669 | WA | -- | |
| 1891262077 | NPPES |
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