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Providence Everett Medical Center
Critical Care Neonatal Nurse Practitioner in Everett, Washington
NPI 1982789954

Providence Everett Medical Center is a Critical Care Neonatal Nurse Practitioner based in Everett, WA and is specialized in Neonatal, Critical Care. Providence Everett Medical Center practices in Everett, WA. The NPI Number for Providence Everett Medical Center is 1982789954 and holds a License No. (Washington).

The current practice location address for Providence Everett Medical Center is 900 Pacific Ave, Everett, WA and can be reached out via phone at 425-304-6040 and via fax at 425-304-6045. 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: 900 Pacific Ave, Everett, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982789954
Provider Name
Providence Everett Medical Center
Credential
Provider Entity Type
Organization
Address
900 Pacific Ave, Everett, WA, 98201-1409
Phone Number
425-304-6040
Fax Number
425-304-6045
Provider Enumeration Date
10/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7001738 05 WA
9620998 05 WA
institution
Provider Business Practice Location Address Details
Address
900 Pacific Ave
City
Everett
State
Washington
Zip
98201-4168
Phone Number
425-304-6040
Fax Number
425-304-6045
person
Provider Business Mailing Address Details
Address
900 Pacific Ave
City
Everett
State
Washington
Zip
98201-4168
Phone Number
425-304-6040
Fax Number
425-304-6045
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
(Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
363LN0005X
License No.
(Washington)
Definition
Definition to come...
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