PROVIDENCE HEALTH & SERVICES-WA
Organization (NPI-2)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1790936185- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 900 PACIFIC AVE FIRST FLOOR, EVERETT, WA, 982014168
- Phone
- (425) 258-7311
- Fax
- (425) 258-7618
Specialties & Taxonomies
Nurse Practitioner
General Acute Care Hospital
License: WA #HAC.FS.00000084
Nutritionist
Nutritionist, Nutrition, Education
Clinic/Center, Developmental Disabilities
License: WA
Nurse Practitioner, Pediatrics
Primary
All Addresses
MAILING
PO BOX 31001-4110
PASADENA, CA, 911104110