Organization · Type 2 NPI

Cascade Headache, PLLC

Nurse Practitioner · Lacey, WA

NPI number 1083400311 Active

Practice location

4405 7th Ave. SE, Suite 200, Pmb 2872
Lacey, WA 98503

Fax (253) 237-9326

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1083400311

Cascade Headache, PLLC's National Provider Identifier is 1083400311, issued on Apr 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lacey, WA. The record was last updated on Aug 12, 2026.