BLOSSOM MENTAL HEALTH SERVICES PLLC NPI 1003596412

NPI Information

NPI: 1003596412
Provider Name: BLOSSOM MENTAL HEALTH SERVICES, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2722 COLBY AVE STE 328
EVERETT, WA
ZIP 98201
Phone: (425) 740-3600
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BLOSSOM MENTAL HEALTH SERVICES, PLLC is a psychiatric/mental health nurse practitioner in Everett, WA. BLOSSOM MENTAL HEALTH SERVICES, PLLC NPI is 1003596412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2722 COLBY AVE STE 328
EVERETT, WA
ZIP 98201-531
Phone: (425) 740-3600

The provider's authorized official is Sandeep Grewal .
The authorized official title is Manager/owner and has the following contact phone number (206) 643-7988.

The enumeration date for this NPI number is 7/20/2023 and was last updated on 7/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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