TRAVELING PAIN MANAGEMENT DOCTORS PSC NPI 1356682470

NPI Information

NPI: 1356682470
Provider Name: TRAVELING PAIN MANAGEMENT DOCTORS PSC

Doing Business As: CROWN HEALTH 'TRAVELING DOCTORS'

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
21234 SE 273RD PL
MAPLE VALLEY, WA
ZIP 98038
Phone: (509) 389-6945
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TRAVELING PAIN MANAGEMENT DOCTORS PSC is a family nurse practitioner in Maple Valley, WA. TRAVELING PAIN MANAGEMENT DOCTORS PSC NPI is 1356682470. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crown Health 'traveling Doctors'.

The provider's business location address is:

21234 SE 273RD PL
MAPLE VALLEY, WA
ZIP 98038-350
Phone: (509) 389-6945

The provider's authorized official is Traci M Mancuso .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (509) 389-6945.

The enumeration date for this NPI number is 3/14/2013 and was last updated on 2/21/2014.

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	AP30006855	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: 5/5/2024

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