Unknown Individual – Family Nurse Practitioner, NPI 1336167485
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5920, 100th Street Southwest, Clover Park, Lakewood, Pierce County, Washington, 98499, United States
#30
LAKEWOOD, WA 984992751
Phone: (253) 584-1700
Type: Location
7912, Emerald Drive Southwest, Lakewood, Pierce County, Washington, 98498, United States
LAKEWOOD, WA 984986209
Phone: (253) 581-0732
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98499)
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