EAST MEETS WEST MEDICAL CLINIC NPI 1982299103

NPI Information

NPI: 1982299103
Provider Name: EAST MEETS WEST MEDICAL CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 13D2215325

Address:
353 W IOWA AVE
NAMPA, ID
ZIP 83686
Phone: (480) 430-3530
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EAST MEETS WEST MEDICAL CLINIC is a family nurse practitioner in Nampa, ID. EAST MEETS WEST MEDICAL CLINIC NPI is 1982299103. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

353 W IOWA AVE
NAMPA, ID
ZIP 83686-856
Phone: (480) 430-3530

The provider's authorized official is Tyle Watkins .
The authorized official title is Owner and has the following contact phone number (480) 430-3530.

The CLIA number assigned to this NPI record is 13D2215325 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2021 and was last updated on 3/9/2021.

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			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: 11/14/2023

NPI Synchronization or Removal

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