Unknown Individual – Pediatric Nurse Practitioner, NPI 1770530305
Pediatric Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 40
PUYALLUP, WA 983710137
Phone: (253) 697-5502
Fax: (253) 697-5510
Type: Mailing
New Hope Lutheran Church, 603, 3rd Avenue Southeast, Pacific, King County, Washington, 98047, United States
PACIFIC, WA 980471431
Phone: (253) 351-0450
Type: Location
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98371)
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