Individual provider · Type 1 NPI
Ezra Joel Foss, NP-C
Psychiatric/Mental Health Nurse Practitioner · Chehalis, WA
NPI number
1073877155
Active
Practice location
135 W Main St
Chehalis, WA 98532-4817
Fax (360) 748-3349
Mailing address
2428 W Reynolds Ave
Centralia, WA 98531-4554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN00174999 (WA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN00174999 (WA) |
| Family Nurse Practitioner | 363LF0000X | AP60292813 (WA) |
| Family Nurse Practitioner | 363LF0000X | 25237 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60292813 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Chehalis
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About NPI 1073877155
Ezra Joel Foss, NP-C's National Provider Identifier is 1073877155, issued on Jul 3, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chehalis, WA. The record was last updated on Dec 21, 2023.