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WATERFALLS LONGEVITY CENTER PLLC NPI 1154863157


NPI Information

NPI: 1154863157
Provider Name: WATERFALLS LONGEVITY CENTER PLLC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
9144 BURNETT RD SE
STE B-3
YELM, WA
ZIP 98597
Phone: (360) 400-2111
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WATERFALLS LONGEVITY CENTER PLLC is an obstetrics obstetrics gynecology in Yelm, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee WATERFALLS LONGEVITY CENTER PLLC NPI is 1154863157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9144 BURNETT RD SE
STE B-3
YELM, WA
ZIP 98597-488
Phone: (360) 400-2111
Fax: (360) 400-2112

The provider's authorized official is Milagros Arocho .
The authorized official title is Owner/doctor and has the following contact phone number (360) 400-2111.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 11/23/2016.


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
1207VX0000XObstetrics & GynecologyObstetrics00046050WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MD00046050OTHERWASHINGTONPHYSICIAN LICENSE

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

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