Individual provider · Type 1 NPI
Miracle Israel
Nurse Practitioner · Lynnwood, WA
Practice location
19116 33rd Ave W
Lynnwood, WA 98036-4706
Fax (425) 712-7905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN60490415 (WA) |
| Nurse Practitioner Primary | 363L00000X | AP61081985 (WA) |
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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About NPI 1326672676
Miracle Israel's National Provider Identifier is 1326672676, issued on Feb 25, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lynnwood, WA. The record was last updated on Mar 30, 2021.