NPI: 1982789954
Provider Name: PROVIDENCE EVERETT MEDICAL CENTER
Doing Business As: PROVIDENCE NICU
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Organization
Specialization: Neonatal, Critical Care
Address:
900 PACIFIC AVE
2ND FLOOR
EVERETT, WA
ZIP 98201
Phone: (425) 304-6040
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PROVIDENCE EVERETT MEDICAL CENTER is a neonatal and critical care nurse practitioner in Everett, WA. PROVIDENCE EVERETT MEDICAL CENTER NPI is 1982789954. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Nicu.
The provider's business location address is:
900 PACIFIC AVE
2ND FLOOR
EVERETT, WA
ZIP 98201-168
Phone: (425) 304-6040
Fax: (425) 304-6045
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 10/26/2006 and was last updated on 9/21/2008.