WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC NPI 1114469855

NPI Information

NPI: 1114469855
Provider Name: WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4520 FAUNTLEROY WAY SW
SEATTLE, WA
ZIP 98126
Phone: (206) 734-4981
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WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC is a family nurse practitioner in Seattle, WA. WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC NPI is 1114469855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4520 FAUNTLEROY WAY SW
SEATTLE, WA
ZIP 98126-740
Phone: (206) 734-4981
Fax: (888) 734-4981

The provider's authorized official is Medea Karr .
The authorized official title is Owner and has the following contact phone number (206) 734-4981.

The enumeration date for this NPI number is 11/11/2016 and was last updated on 11/11/2016.

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	363LF0000X	Nurse Practitioner	Family	AP30006987	WASHINGTON	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1487719597	OTHER		INDIVIDUAL PROVIDER NPI FOR MEDEA KARR ARNP
2	9659145	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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