Organization · Type 2 NPI

Rainier Valley Wellness

Nurse Practitioner · Seattle, WA

NPI number 1114636669 Active

Practice location

4708 S Mead St
Seattle, WA 98118-2810

Call (206) 474-6267 Map

Mailing address

4704 S Mead St
Seattle, WA 98118-2810

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None 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…

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NPI record

NPI: 1114636669
Entity type: Organization (Type 2)
Issued: Nov 22, 2022
Last updated: Dec 9, 2022
Status: Active
Subpart: Yes of Rainier Valley Community Clinic

Other names

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South Seattle Women's Health Foundation · former legal business name
South Seattle Women's Health Foundation · former legal business name

Authorized official

Tara Kaleilani Lawal, MS RN
Executive Director
(206) 474-6267

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About NPI 1114636669

Rainier Valley Wellness's National Provider Identifier is 1114636669, issued on Nov 22, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Seattle, WA. The record was last updated on Dec 9, 2022.