Ellen Marie Sundstrom in Lakewood - Family
Ellen Marie Sundstrom - NPI 1962688788
Ellen Marie Sundstrom is a Family in Lakewood, Washington. Ellen Marie Sundstrom practices all healthcare services and medical treatments related to Family. The NPI Number for Ellen Marie Sundstrom is 1962688788. The last update date is 2023-08-03.
Ellen Marie Sundstrom's current location address is 10011 Bridgeport Way Se Suite 1500 Pmb 201, Lakewood, Washington. You can contact this provider via phone number 2146863588. The mailing address for Ellen Marie Sundstrom is 10011 Bridgeport Way Se Suite 1500 Pmb 201, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Marie Sundstrom |
|---|---|
| Address | 10011 Bridgeport Way Se Suite 1500 Pmb 201, Lakewood, Washington |
| Phone Number | 2146863588 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN, FNP-BC |
NPI Number Detail
| NPI Number | 1962688788 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2023-08-03 |
Provider Mailing Address Detail
| Address | 10011 Bridgeport Way Se Suite 1500 Pmb 201 |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984992332 |
| Phone Number | 2146863588 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP116342 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Ellen Marie Sundstrom by the Centers for Medicare & Medicaid Services?
The Ellen Marie Sundstrom has been issued the NPI (National Provider Identifier) 1962688788. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ellen Marie Sundstrom's facilities are geographically located?
The facilities of Ellen Marie Sundstrom are physically situated at the following location: 10011 Bridgeport Way Se Suite 1500 Pmb 201, Lakewood, WA, 984992332.
What is Ellen Marie Sundstrom's area of expertise and its corresponding taxonomy classification?
The Ellen Marie Sundstrom's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ellen Marie Sundstrom receive its 1962688788 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Marie Sundstrom was assigned its 1962688788 by the Centers for Medicare & Medicaid Services on 2008-01-10.
When was the information regarding Ellen Marie Sundstrom most recently updated?
The details pertaining to the Ellen Marie Sundstrom, including its address, specialty, and other relevant information, were last refreshed on 2023-08-03.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC