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PACIFIC NOBLE PRIMARY CARE PROFESSIONAL LIMITED LIABILITY COM NPI 1578342119


NPI Information

NPI: 1578342119
Provider Name: PACIFIC NOBLE PRIMARY CARE PROFESSIONAL LIMITED LIABILITY COM

Doing Business As: PACIFIC NOBLE PRIMARY CARE

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8479 W CLEARWATER AVE UNIT 120
KENNEWICK, WA
ZIP 99336
Phone: (509) 418-5234
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PACIFIC NOBLE PRIMARY CARE PROFESSIONAL LIMITED LIABILITY COM is a primary care nurse practitioner in Kennewick, WA. PACIFIC NOBLE PRIMARY CARE PROFESSIONAL LIMITED LIABILITY COM NPI is 1578342119. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Noble Primary Care.

The provider's business location address is:

8479 W CLEARWATER AVE UNIT 120
KENNEWICK, WA
ZIP 99336-628
Phone: (509) 418-5234
Fax: (509) 418-5238

The provider's authorized official is Jessica Noble .
The authorized official title is Ceo and has the following contact phone number (208) 413-8449.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 4/22/2024.


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
1363LP2300XNurse PractitionerPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.