MICHAEL R KOMANETZ MSN ARNP NPI 1306216734

NPI Information

NPI: 1306216734
Provider Name: MICHAEL R KOMANETZ, MSN ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
37624 SE FURY ST
STE 101
SNOQUALMIE, WA
ZIP 98065
Phone: (425) 888-2016
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Michael R Komanetz, MSN ARNP is a family nurse practitioner in Snoqualmie, WA with 9 years of experience. Michael R Komanetz, MSN ARNP NPI is 1306216734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

37624 SE FURY ST
STE 101
SNOQUALMIE, WA
ZIP 98065-680
Phone: (425) 888-2016
Fax: (206) 320-5170

The NPI 1306216734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2015 and was last updated on 10/7/2020.

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	363L00000X	Nurse Practitioner		AP60577565	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP60577565	WASHINGTON	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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