Unknown Individual – Women's Health Nurse Practitioner, NPI 1083759773

Unknown Individual is a healthcare provider. based in Mount vernon, Washington. specializing in Women's Health Nurse Practitioner. They hold a License No. AP30000477 (WA). The NPI Number for Unknown Individual is 1083759773

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083759773
Phone
(360) 424-2112
Address
110 N LAVENTURE RD
Deactivation Date
30 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1975 (51 years ago)
PAC ID
9739176777
Professional Enrollment ID
I20040503000404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 110 N LAVENTURE RD

    SUITE C

    MOUNT VERNON, WA 982733901

    Phone: (360) 424-2112

    Fax: (360) 424-2132

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98273)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1083759773 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Women's Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Washington?
You will see Mount Vernon, Washington on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

JUDITH L. CHILCOTE (MSARNP)

Women's Health Nurse Practitioner
Mount Vernon Women's Clinic, 111, North 17th Street, Mount Vernon, Skagit County, Washington, 98273, United States
NPI: 1386618205

ELLYN C. THOREEN (ARNP)

Nurse Practitioner
1400, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States
NPI: 1609977016

CATHERINE D NORTON (ARNP)

Women's Health Nurse Practitioner
Pacific Avenue, Everett, Snohomish County, Washington, 98120, United States
NPI: 1013086495

MS. MORGHAN B MILAGROSA (CNM, ANP)

Advanced Practice Midwife
101 N Main St
NPI: 1306087960

PPGWNI

Women's Health Nurse Practitioner
1509 CORNWALL AVE
NPI: 1588074694

ANGIE LEWIS (ARNP)

Women's Health Nurse Practitioner
1400 E KINCAID ST
NPI: 1629526215

MS. ANDREA MARIE PHILLIPS (CNM)

Women's Health Nurse Practitioner
1302 W EMERSON ST # 1
NPI: 1558906008

COLLEEN DUNCAN (NP)

Women's Health Nurse Practitioner
29 SUNNYSIDE LN
NPI: 1285525410