PROVIDENCE EVERETT MEDICAL CENTER NPI 1255495024

NPI Information

PROVIDENCE EVERETT MEDICAL CENTER is a pediatrics nurse practitioner in Everett, WA. PROVIDENCE EVERETT MEDICAL CENTER NPI is 1255495024. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Providence Children's Center.

The provider's business location address is:

900 PACIFIC AVE
FIRST FLOOR
EVERETT, WA
ZIP 98201-168
Phone: (425) 258-7311
Fax: (425) 258-7618

The provider's authorized official is Joyce Kobayashi .
The authorized official title is Dir Revenue Cycle Mgmt Nwsa and has the following contact phone number (425) 317-0186.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 9/22/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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