Mihee Mickey Montstream in Tacoma - Nurse Practitioner

Mihee Mickey Montstream - NPI 1336395896

Mihee Mickey Montstream is a Nurse Practitioner in Tacoma, Washington. Mihee Mickey Montstream practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mihee Mickey Montstream is 1336395896. The last update date is 2012-05-03.

Mihee Mickey Montstream's current location address is 1717 S J St, Tacoma, Washington. You can contact this provider via phone number 2534266691 and fax number 2534266492. The mailing address for Mihee Mickey Montstream is 1717 S J St, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mihee Mickey Montstream
Address 1717 S J St, Tacoma, Washington
Phone Number 2534266691
Fax Number 2534266492
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1336395896
Provider Enumeration Date 2008-08-14
Last Updated Date 2012-05-03

Provider Mailing Address Detail

Address 1717 S J St
City Tacoma
State Washington (WA)
Post Code 984054933
Phone Number 2534266691
Fax Number 2534266492

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No AP60039532
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
279449 WA STATE L&I
8948258 WA CRIME VICTIMS
279447 WA STATE L&I
287255 WA STATE L&I
287481 WA STATE L&I
9658444 WA --
278223 WA STATE L&I
238994 WA STATE L&I
278232 WA STATE L&I
291785 WA STATE L&I

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FAQs about Mihee Mickey Montstream

What is the unique 10-digit identification code issued to Mihee Mickey Montstream by the Centers for Medicare & Medicaid Services?

The Mihee Mickey Montstream has been assigned the NPI (National Provider Identifier) 1336395896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mihee Mickey Montstream is physically located?

The Mihee Mickey Montstream is situated at the following address: 1717 S J St, Tacoma, WA 984054933.

What is the area of specialization for Mihee Mickey Montstream, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mihee Mickey Montstream is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date did the Mihee Mickey Montstream receive its 1336395896 assignment from the Centers for Medicare & Medicaid Services?

The Mihee Mickey Montstream was assigned its 1336395896 by the Centers for Medicare & Medicaid Services on 2008-08-14.

When was the information regarding Mihee Mickey Montstream, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mihee Mickey Montstream, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-03.

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