Primary Care Clinic For Adults Llc in Shoreline - Nurse Practitioner
Primary Care Clinic For Adults Llc - NPI 1386828846
Primary Care Clinic For Adults Llc is a Nurse Practitioner in Shoreline, Washington. Primary Care Clinic For Adults Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Primary Care Clinic For Adults Llc is 1386828846. The last update date is 2023-04-11.
Primary Care Clinic For Adults Llc's current location address is 20011 Ballinger Way Ne Ste 202, Shoreline, Washington. You can contact this provider via phone number 4258068360 and fax number 4252508566. The mailing address for Primary Care Clinic For Adults Llc is 20011 Ballinger Way Ne Ste 202, Shoreline, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Care Clinic For Adults Llc |
|---|---|
| Address | 20011 Ballinger Way Ne Ste 202, Shoreline, Washington |
| Phone Number | 4258068360 |
| Fax Number | 4252508566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL AS |
|---|---|
| Authorized Official Name | Wilson R Jaclyn |
| Credentials | MA |
| Telephone Number | 4258068360 |
NPI Number Detail
| NPI Number | 1386828846 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2023-04-11 |
Provider Mailing Address Detail
| Address | 20011 Ballinger Way Ne Ste 202 |
|---|---|
| City | Shoreline |
| State | Washington (WA) |
| Post Code | 981551286 |
| Phone Number | 4258068360 |
| Fax Number | 4252508566 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30005666 |
|
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 |
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What is the unique 10-digit identifier code issued to Primary Care Clinic For Adults Llc by the Centers for Medicare & Medicaid Services?
The Primary Care Clinic For Adults Llc has been assigned the NPI (National Provider Identifier) 1386828846 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Primary Care Clinic For Adults Llc is located?
The Primary Care Clinic For Adults Llc is situated at the following address: 20011 Ballinger Way Ne Ste 202, Shoreline, WA, 981551286.
What is Primary Care Clinic For Adults Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Primary Care Clinic For Adults Llc is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Primary Care Clinic For Adults Llc receive the assignment of its 1386828846 from the Centers for Medicare & Medicaid Services?
The Primary Care Clinic For Adults Llc was issued its 1386828846 by the Centers for Medicare & Medicaid Services on 2007-12-19.
When was the Primary Care Clinic For Adults Llc's information last updated?
The Primary Care Clinic For Adults Llc's information was last updated on 2023-04-11.
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