INFANT HOME PHOTOTHERAPY NPI 1609905751

NPI Information

NPI: 1609905751
Provider Name: INFANT HOME PHOTOTHERAPY
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
4908 33RD AVE W
EVERETT, WA
ZIP 98203
Phone: (425) 355-0957
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INFANT HOME PHOTOTHERAPY is a home health registered nurse in Everett, WA. INFANT HOME PHOTOTHERAPY NPI is 1609905751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4908 33RD AVE W
EVERETT, WA
ZIP 98203-338
Phone: (425) 355-0957

The provider's authorized official is Donna Lee Gentry-hayward .
The authorized official title is President and has the following contact phone number (425) 355-0957.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 4/25/2013.

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	163WH0200X	Registered Nurse	Home Health	IS-342	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: 4/28/2024

NPI Synchronization or Removal

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