LA LUNE INTEGRATIVE PSYCHIATRY PLLC NPI 1457094575

NPI Information

NPI: 1457094575
Provider Name: LA LUNE INTEGRATIVE PSYCHIATRY PLLC
Classification: Nurse Practitioner - 363LP0808X
Specialization: Psychiatric/Mental Health
Entity Type: Organization
Address: 522 W RIVERSIDE AVE STE 4117
SPOKANE, WA
ZIP 99201
Phone: (206) 531-7844

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NPI Details

LA LUNE INTEGRATIVE PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Spokane, WA. LA LUNE INTEGRATIVE PSYCHIATRY PLLC NPI is 1457094575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

522 W RIVERSIDE AVE STE 4117
SPOKANE, WA
ZIP 99201-580
Phone: (206) 531-7844
Fax: (503) 386-3252

The provider's authorized official is Elita Wong .
The authorized official title is Owner, Nurse Practitioner and has the following contact phone number (206) 531-7844.

The enumeration date for this NPI number is 4/16/2022 and was last updated on 4/16/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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	AP61085917	OTHER	WASHINGTON	STATE LICENSE

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: 3/30/2025

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