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WASHINGTON STATE UNIVERSITY NPI 1487671194


NPI Information

NPI: 1487671194
Provider Name: WASHINGTON STATE UNIVERSITY

Doing Business As: PEOPLE'S CLINIC

Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
829 W BROADWAY AVE
SPOKANE, WA
ZIP 99201
Phone: (509) 755-7624
Get Directions

WASHINGTON STATE UNIVERSITY is an acute care nurse practitioner in Spokane, WA. WASHINGTON STATE UNIVERSITY NPI is 1487671194. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As People's Clinic.

The provider's business location address is:

829 W BROADWAY AVE
SPOKANE, WA
ZIP 99201-117
Phone: (509) 755-7624

The provider's authorized official is Sharyl 'kim' Calamia-mckee .
The authorized official title is Business Manager and has the following contact phone number (509) 755-7624.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute CareYes
2363LA2200XNurse PractitionerAdult HealthX
3363LF0000XNurse PractitionerFamilyX
4363LP0808XNurse PractitionerPsychiatric/Mental HealthX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19628702MEDICAIDWASHINGTON

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: 4/28/2024

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