MARY VAN DE VEN L.M.P. NPI 1245494400

NPI Information

NPI: 1245494400
Provider Name: MARY VAN DE VEN, L.M.P.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
23619 14TH AVE S
DES MOINES, WA
ZIP 98198
Phone: (206) 878-1892
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Mary Van De Ven, L.M.P. is a specialist in Des Moines, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mary Van De Ven, L.M.P. NPI is 1245494400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23619 14TH AVE S
DES MOINES, WA
ZIP 98198-402
Phone: (206) 878-1892

The NPI 1245494400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/16/2008 and was last updated on 7/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MA 60016934	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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