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THREE RIVERS PSYCHIATRY NPI 1194113985


NPI Information

NPI: 1194113985
Provider Name: THREE RIVERS PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 50D0681079

Address:
750 SWIFT BLVD STE 15
RICHLAND, WA
ZIP 99352
Phone: (509) 940-5577
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THREE RIVERS PSYCHIATRY is a psychiatric/mental health nurse practitioner in Richland, WA. THREE RIVERS PSYCHIATRY NPI is 1194113985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 SWIFT BLVD STE 15
RICHLAND, WA
ZIP 99352-521
Phone: (509) 940-5577
Fax: (509) 834-7286

The provider's authorized official is Angela Combs .
The authorized official title is Nurse Practitioner and has the following contact phone number (509) 940-5577.

The CLIA number assigned to this NPI record is 50D0681079 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/31/2014 and was last updated on 3/2/2020.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP60515195WASHINGTONYes

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: 5/5/2024

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