institution
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. You can also correspond with Providence Everett Medical Center through the mailing address at 909 N BROADWAY, EVERETT, WA - 98201-1409 (mailing address contact number: 425-317-0264).

Location: 1321 Colby Ave, Everett, WA, 98201-1409
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
State
Zip
98201-1665
Phone Number
425-261-3968
Fax Number
425-261-3967
person
Provider Business Mailing Address Details
Address
909 N Broadway
City
State
Zip
98201-1409
Phone Number
425-317-0264
Fax Number
425-317-0291
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
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
License No.
(Washington)
Definition
Definition to come...
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