JAN NELSON NP-C DBA BALANCED WELLNESS MEDICAL CLINIC NPI 1427450535

NPI Information

NPI: 1427450535
Provider Name: JAN NELSON NP-C, DBA, BALANCED WELLNESS MEDICAL CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1328 N STANFORD LN
101
LIBERTY LAKE, WA
ZIP 99019
Phone: (509) 891-7119
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JAN NELSON NP-C, DBA, BALANCED WELLNESS MEDICAL CLINIC is a general practice in Liberty Lake, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JAN NELSON NP-C, DBA, BALANCED WELLNESS MEDICAL CLINIC NPI is 1427450535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1328 N STANFORD LN
101
LIBERTY LAKE, WA
ZIP 99019-034
Phone: (509) 891-7119

The provider's authorized official is Janice Nelson .
The authorized official title is Owner and has the following contact phone number (208) 651-3322.

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.

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	208D00000X	General Practice		AP60478189	WASHINGTON	Yes

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
1	1538314257	OTHER		NPI

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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