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SPECIALTY WOUND AND FOOT CARE NPI 1295006187


NPI Information

NPI: 1295006187
Provider Name: SPECIALTY WOUND AND FOOT CARE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
4901 108TH ST SW
LAKEWOOD, WA
ZIP 98499
Phone: (253) 584-3577
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SPECIALTY WOUND AND FOOT CARE is a gerontology nurse practitioner in Lakewood, WA. SPECIALTY WOUND AND FOOT CARE NPI is 1295006187. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4901 108TH ST SW
LAKEWOOD, WA
ZIP 98499-724
Phone: (253) 584-3577

The provider's authorized official is Shirley B Cameron .
The authorized official title is Owner/provider and has the following contact phone number (253) 536-2504.

The enumeration date for this NPI number is 1/24/2012 and was last updated on 1/24/2012.


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
1363LG0600XNurse PractitionerGerontologyAP300003906WASHINGTONYes

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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