Organization · Type 2 NPI
A Community Wellness Clinic LLC
Family Nurse Practitioner · Spokane, WA
NPI number
1063056497
Active
Practice location
2405 E 17th Ave Ste 113
Spokane, WA 99223-5122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1063056497
A Community Wellness Clinic LLC's National Provider Identifier is 1063056497, issued on Oct 29, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spokane, WA. The record was last updated on May 13, 2026.