PUGET SOUND CHRISTIAN CLINIC NPI 1285174813

NPI Information

NPI: 1285174813
Provider Name: PUGET SOUND CHRISTIAN CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3312 NE 123RD ST
APT. C
SEATTLE, WA
ZIP 98125
Phone: (360) 201-0926
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PUGET SOUND CHRISTIAN CLINIC is a family nurse practitioner in Seattle, WA. PUGET SOUND CHRISTIAN CLINIC NPI is 1285174813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3312 NE 123RD ST
APT. C
SEATTLE, WA
ZIP 98125-691
Phone: (360) 201-0926

The provider's authorized official is Jubilee Pearl Mattix .
The authorized official title is Nurse Practitioner and has the following contact phone number (360) 201-0926.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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	AP60703570	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: 11/14/2023

NPI Synchronization or Removal

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