Organization · Type 2 NPI
In Home Primary Care, PLLC
Gerontology Nurse Practitioner · Snohomish, WA
NPI number
1356469720
Active
Practice location
127 Avenue A Bay 3, Ste 1 & 2
Snohomish, WA 98290-2962
Fax (360) 863-6295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP30005721 (WA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1356469720
In Home Primary Care, PLLC's National Provider Identifier is 1356469720, issued on Mar 26, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Snohomish, WA. The record was last updated on Apr 1, 2010.