institution
N.w. Pediatric Center Inc Ps
Pediatric Nurse Practitioner in Centralia, Washington
NPI 1518034180

N.w. Pediatric Center Inc Ps is a Pediatric Nurse Practitioner based in Centralia, WA and is specialized in Pediatrics. N.w. Pediatric Center Inc Ps practices in Centralia, WA. The NPI Number for N.w. Pediatric Center Inc Ps is 1518034180 and holds a License No. MD00029916 (Washington).

The current practice location address for N.w. Pediatric Center Inc Ps is 1911 Cooks Hill Rd, Centralia, WA and can be reached out via phone at 360-736-6778 and via fax at 360-736-6552.

Location: 1911 Cooks Hill Rd, Centralia, WA, 98531-9073
institution
Provider Profile Details
NPI Number
1518034180
Provider Name
N.w. Pediatric Center Inc Ps
Credential
Provider Entity Type
Organization
Address
1911 Cooks Hill Rd, Centralia, WA, 98531-9073
Phone Number
360-736-6778
Fax Number
360-736-6552
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1058825 05 WA
218107 01 WA JC PROVIDENCE HEALTH PLAN
2914LO 01 WA DR LO REGENCE
9116SM 01 WA DANA SMITH, ARNP REGENCE
1194SM 01 WA DANA SMITH, ARNP REGENCE
2914CA 01 WA JENNIFER CASERTA, MD REGE
2914SM 01 WA DANA SMITH, ARNP REGENCE
2915CA 01 WA JENNIFER CASERTA, MD REGE
8024LO 01 WA DR LO REGENCE
9116CA 01 WA JENNIFER CASETA, MD REGEN
1914LO 01 WA DR. LO REGENCE
8173882 05 WA
212864 01 WA DANA SMITH, ARNP PROVIDEN
230532008 01 WA JC GROUP HEALTH
7057375 05 WA
8141947 05 WA
1072958 05 WA
8251324 05 WA
8398356 05 WA
9636994 05 WA
institution
Provider Business Practice Location Address Details
Address
1911 Cooks Hill Rd
City
State
Zip
98531-9073
Phone Number
360-736-6778
Fax Number
360-736-6552
person
Provider Business Mailing Address Details
Address
1911 Cooks Hill Rd
City
State
Zip
98531-9073
Phone Number
360-736-6778
Fax Number
360-736-6552
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
MD00028578 (Washington)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
MD00038226 (Washington)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
MD00029916 (Washington)
Definition
Definition to come...
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