Associated Valley Providers Pllc in Renton - Nurse Practitioner

Associated Valley Providers Pllc - NPI 1043490543

Associated Valley Providers Pllc is a Nurse Practitioner in Renton, Washington. Associated Valley Providers Pllc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Associated Valley Providers Pllc is 1043490543. The last update date is 2009-09-22.

Associated Valley Providers Pllc's current location address is 4361 Talbot Rd S, Renton, Washington. You can contact this provider via phone number 4252555111 and fax number 4252540985. The mailing address for Associated Valley Providers Pllc is 4361 Talbot Rd S, Renton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Associated Valley Providers Pllc
Address 4361 Talbot Rd S, Renton, Washington
Phone Number 4252555111
Fax Number 4252540985
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Vanderheyden L John
Credentials M.D.
Telephone Number 4252555111

NPI Number Detail

NPI Number 1043490543
Provider Enumeration Date 2007-11-13
Last Updated Date 2009-09-22

Provider Mailing Address Detail

Address 4361 Talbot Rd S
City Renton
State Washington (WA)
Post Code 980556226
Phone Number 4252555111
Fax Number 4252540985

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
7112634 WA --

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FAQs about Associated Valley Providers Pllc

What is the unique 10-digit identifier code issued to Associated Valley Providers Pllc by the Centers for Medicare & Medicaid Services?

The Associated Valley Providers Pllc has been assigned the NPI (National Provider Identifier) 1043490543 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Associated Valley Providers Pllc's facilities are geographically located?

The facilities of Associated Valley Providers Pllc are physically situated at the following location: 4361 Talbot Rd S, Renton, WA, 980556226.

What is Associated Valley Providers Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Associated Valley Providers Pllc is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did the Associated Valley Providers Pllc receive the assignment of its 1043490543 from the Centers for Medicare & Medicaid Services?

The Associated Valley Providers Pllc was issued its 1043490543 by the Centers for Medicare & Medicaid Services on 2007-11-13.

As of what date were the details pertaining to Associated Valley Providers Pllc last refreshed?

The information related to the Associated Valley Providers Pllc, including its address, specialty, and other relevant details, was last updated on 2009-09-22.

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