Blaze J Burnham in Spokane Valley - Family

Blaze J Burnham - NPI 1174551022

Blaze J Burnham is a Family in Spokane Valley, Washington. Blaze J Burnham practices all healthcare services and medical treatments related to Family. The NPI Number for Blaze J Burnham is 1174551022. The last update date is 2010-07-12.

Blaze J Burnham's current location address is 13607 E Sprague Avenue, Spokane Valley, Washington. You can contact this provider via phone number 5098923113 and fax number 5098923663. The mailing address for Blaze J Burnham is 13607 E Sprague Avenue, Spokane Valley, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Blaze J Burnham
Address 13607 E Sprague Avenue, Spokane Valley, Washington
Phone Number 5098923113
Fax Number 5098923663
Sole Proprietor Y
Credentials ARNP

NPI Number Detail

NPI Number 1174551022
Provider Enumeration Date 2006-06-29
Last Updated Date 2010-07-12

Provider Mailing Address Detail

Address 13607 E Sprague Avenue
City Spokane Valley
State Washington (WA)
Post Code 99206
Phone Number 5098923113
Fax Number 5098923663

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No AP30004598
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Blaze J Burnham

What is the unique identifier code issued to Blaze J Burnham by the Centers for Medicare & Medicaid Services (CMS)?

The Blaze J Burnham has been assigned the NPI (National Provider Identifier) 1174551022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Blaze J Burnham is geographically located?

The Blaze J Burnham is physically situated at the following location: 13607 E Sprague Avenue, Spokane Valley, WA, 99206.

What is Blaze J Burnham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Blaze J Burnham's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date was the 1174551022 assigned to Blaze J Burnham?

The Blaze J Burnham was issued its 1174551022 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Blaze J Burnham, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Blaze J Burnham, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-12.

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