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Providence Physician Group
Gerontology Nurse Practitioner in Everett, Washington
NPI 1871515429

Providence Physician Group is a Gerontology Nurse Practitioner based in Everett, WA and is specialized in Gerontology. Providence Physician Group practices in Everett, WA. The NPI Number for Providence Physician Group is 1871515429 and holds a License No. (Washington).

The current practice location address for Providence Physician Group is 1330 Rockefeller Ave, Everett, WA and can be reached out via phone at 425-261-4925 and via fax at 425-261-4932.

Location: 1330 Rockefeller Ave, Everett, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871515429
Provider Name
Providence Physician Group
Credential
Provider Entity Type
Organization
Address
1330 Rockefeller Ave, Everett, WA, 98201-1409
Phone Number
425-261-4925
Fax Number
425-261-4932
Provider Enumeration Date
07/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7095417 05 WA
institution
Provider Business Practice Location Address Details
Address
1330 Rockefeller Ave
City
Everett
State
Washington
Zip
98201-1684
Phone Number
425-261-4925
Fax Number
425-261-4932
person
Provider Business Mailing Address Details
Address
1330 Rockefeller Ave
City
Everett
State
Washington
Zip
98201-1684
Phone Number
425-261-4925
Fax Number
425-261-4932
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
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Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Bone Densitometry
Taxonomy
2471B0102X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
()
Definition
Definition to come...
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