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Providence Everett Medical Center
Psychiatric/Mental Health Nurse Practitioner in Everett, Washington
NPI 1972610418

Providence Everett Medical Center is a Psychiatric/Mental Health Nurse Practitioner based in Everett, WA and is specialized in Psychiatric/Mental Health. Providence Everett Medical Center practices in Everett, WA. The NPI Number for Providence Everett Medical Center is 1972610418 and holds a License No. (Washington).

The current practice location address for Providence Everett Medical Center is 1321 Colby Ave, Everett, WA and can be reached out via phone at 425-261-3968 and via fax at 425-261-3967.

Location: 1321 Colby Ave, Everett, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972610418
Provider Name
Providence Everett Medical Center
Credential
Provider Entity Type
Organization
Address
1321 Colby Ave, Everett, WA, 98201-1409
Phone Number
425-261-3968
Fax Number
425-261-3967
Provider Enumeration Date
08/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7075161 05 WA
7128150 05 WA
institution
Provider Business Practice Location Address Details
Address
1321 Colby Ave
City
Everett
State
Washington
Zip
98201-1665
Phone Number
425-261-3968
Fax Number
425-261-3967
person
Provider Business Mailing Address Details
Address
1321 Colby Ave
City
Everett
State
Washington
Zip
98201-1665
Phone Number
425-261-3968
Fax Number
425-261-3967
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
(Washington)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
(Washington)
Definition
Definition to come...
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institution
Providence Health & Services-wa
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Psychiatric/Mental Health Nurse Practitioner
1321 Colby Ave,
EVERETT, WA
98201-1665
425-261-3968
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