Unknown Individual – Pediatric Nurse Practitioner, NPI 1366730202
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1620 KEMPTON ST SE UNIT 302
OLYMPIA, WA 985017504
Phone: (501) 993-8939
Type: Mailing
55 LOCK ST
NEW HAVEN, CT 065113603
Phone: (203) 432-0206
Type: Location
15710 NE 24TH ST STE A
BELLEVUE, WA 980082444
Phone: (425) 595-9531
Fax: (425) 502-6229
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 98501)
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