WA-SPOK PRIMARY CARE LLC NPI 1821248428

NPI Information

NPI: 1821248428
Provider Name: WA-SPOK PRIMARY CARE LLC
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

Address:
1603 NORTH BELT
SPOKANE, WA
ZIP 99205
Phone: (509) 473-7060
Get Directions

WA-SPOK PRIMARY CARE LLC is an obstetrics and gynecology nurse practitioner in Spokane, WA. WA-SPOK PRIMARY CARE LLC NPI is 1821248428. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1603 NORTH BELT
SPOKANE, WA
ZIP 99205-038
Phone: (509) 473-7060
Fax: (509) 326-0521

The provider's authorized official is Debibe Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 2/13/2012.

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	Primary
1	363LF0000X	Nurse Practitioner	Family	No
2	367A00000X	Advanced Practice Midwife		No
3	207Q00000X	Family Medicine		No
4	208M00000X	Hospitalist		No
5	208000000X	Pediatrics		No
6	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	No
7	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	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	G8876750	MEDICARE PIN	WASHINGTON
2	7144546	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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