Providence Everett Medical Center in Everett - Nurse Practitioner

Providence Everett Medical Center - NPI 1104993716

Providence Everett Medical Center is a Nurse Practitioner in Everett, Washington. Providence Everett Medical Center practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Providence Everett Medical Center is 1104993716. The last update date is 2008-09-22.

Providence Everett Medical Center's current location address is 909 N Broadway, Everett, Washington. You can contact this provider via phone number 4253170699 and fax number 4253170291. The mailing address for Providence Everett Medical Center is 909 N Broadway, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Everett Medical Center
Address 909 N Broadway, Everett, Washington
Phone Number 4253170699
Fax Number 4253170291
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIR REVENU
Authorized Official Name Kobayashi Joyce
Telephone Number 4253170186

NPI Number Detail

NPI Number 1104993716
Provider Enumeration Date 2006-11-29
Last Updated Date 2008-09-22

Provider Mailing Address Detail

Address 909 N Broadway
City Everett
State Washington (WA)
Post Code 982011409
Phone Number 4253170699
Fax Number 4253170291

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9637786 WA --
7124910 WA --

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FAQs about Providence Everett Medical Center

What is the unique identification code assigned to Providence Everett Medical Center by the Centers for Medicare & Medicaid Services?

The Providence Everett Medical Center has been issued the NPI (National Provider Identifier) 1104993716. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Providence Everett Medical Center is located?

The Providence Everett Medical Center is situated at the following address: 909 N Broadway, Everett, WA, 982011409.

What is Providence Everett Medical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Providence Everett Medical Center is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

On what date did the Providence Everett Medical Center receive the assignment of its 1104993716 from the Centers for Medicare & Medicaid Services?

The Providence Everett Medical Center was issued its 1104993716 by the Centers for Medicare & Medicaid Services on 2006-11-29.

When was the information regarding Providence Everett Medical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Providence Everett Medical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-22.

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