MS. ARDITH LOUISE CONWAY PMHNP NPI 1689850190

NPI Information

NPI: 1689850190
Provider Name: MS. ARDITH LOUISE CONWAY, PMHNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1112 WASHINGTON AVE
ENUMCLAW, WA
ZIP 98022
Phone: (503) 806-7148
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MS. Ardith Louise Conway, PMHNP is a family nurse practitioner in Enumclaw, WA. MS. Ardith Louise Conway, PMHNP NPI is 1689850190. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1112 WASHINGTON AVE
ENUMCLAW, WA
ZIP 98022-547
Phone: (503) 806-7148

The NPI 1689850190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 12/14/2022.

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	60291192	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP60291192	WASHINGTON	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	2016230	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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