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WOMEN'S HOLISTIC MEDICAL WEIGHT LOSS CLINIC LLC NPI 1467107508


NPI Information

NPI: 1467107508
Provider Name: WOMEN'S HOLISTIC MEDICAL WEIGHT LOSS CLINIC LLC

Doing Business As: INTEGRATED FAMILY MEDICINE AND AESTHETIC WELLNESS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 50D2266795

Address:
7808 PACIFIC AVE STE 4
TACOMA, WA
ZIP 98408
Phone: (253) 474-3329
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WOMEN'S HOLISTIC MEDICAL WEIGHT LOSS CLINIC LLC is a family nurse practitioner in Tacoma, WA. WOMEN'S HOLISTIC MEDICAL WEIGHT LOSS CLINIC LLC NPI is 1467107508. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Integrated Family Medicine And Aesthetic Wellness.

The provider's business location address is:

7808 PACIFIC AVE STE 4
TACOMA, WA
ZIP 98408-039
Phone: (253) 474-3329

The provider's authorized official is Shenika Williams .
The authorized official title is Owner and has the following contact phone number (253) 474-3329.

The CLIA number assigned to this NPI record is 50D2266795 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 4/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

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: 4/28/2024

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