Life Changes Health Care Clinic in Mill Creek - Nurse Practitioner
Life Changes Health Care Clinic - NPI 1477614311
Life Changes Health Care Clinic is a Nurse Practitioner in Mill Creek, Washington. Life Changes Health Care Clinic practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Life Changes Health Care Clinic is 1477614311. The last update date is 2007-07-19.
Life Changes Health Care Clinic's current location address is Po Box 12608, Mill Creek, Washington. You can contact this provider via phone number 4252526484. The mailing address for Life Changes Health Care Clinic is Po Box 12608, Mill Creek, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Changes Health Care Clinic |
|---|---|
| Address | Po Box 12608, Mill Creek, Washington |
| Phone Number | 4252526484 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MEDI |
|---|---|
| Authorized Official Name | Capon C Lyndon |
| Credentials | MD, ARNP, |
| Telephone Number | 4257500881 |
NPI Number Detail
| NPI Number | 1477614311 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | Po Box 12608 |
|---|---|
| City | Mill Creek |
| State | Washington (WA) |
| Post Code | 980820608 |
| Phone Number | 4252526484 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30006112 |
|
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 |
|
Post Comment/ Review Below
What is the Life Changes Health Care Clinic's unique identification number?
The Life Changes Health Care Clinic has been assigned the NPI (National Provider Identifier) Number 1477614311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Life Changes Health Care Clinic's facilities are geographically located?
The facilities of Life Changes Health Care Clinic are physically situated at the following location: Po Box 12608, Mill Creek, WA, 980820608.
What is Life Changes Health Care Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Life Changes Health Care Clinic's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When was the Life Changes Health Care Clinic's 1477614311 issued?
The Life Changes Health Care Clinic's 1477614311 was issued on 2006-12-13.
As of what date were the details related to Life Changes Health Care Clinic most recently updated or revised?
The information pertaining to Life Changes Health Care Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-19.