Unknown Individual – Licensed Practical Nurse, NPI 1982876074
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 959
YAKIMA, WA 989070959
Phone: (509) 575-4084
Type: Mailing
402, South 4th Avenue, Yakima, Yakima County, Washington, 98902, United States
YAKIMA, WA 989023546
Phone: (509) 575-4084
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)
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 98907)
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