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NOVARI PRIMARY CARE LLC NPI 1598272155


NPI Information

NPI: 1598272155
Provider Name: NOVARI PRIMARY CARE LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
4686 POINTES DR STE 219
MUKILTEO, WA
ZIP 98275
Phone: (425) 405-8089
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NOVARI PRIMARY CARE LLC is a nurse practitioner in Mukilteo, WA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NOVARI PRIMARY CARE LLC NPI is 1598272155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4686 POINTES DR STE 219
MUKILTEO, WA
ZIP 98275
Phone: (425) 405-8089
Fax: (425) 426-2277

The provider's authorized official is Karla Chaney Ballew .
The authorized official title is Ceo/medical Director and has the following contact phone number (425) 405-8089.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 10/22/2021.


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
1363LA2200XNurse PractitionerAdult HealthNo
2363LG0600XNurse PractitionerGerontologyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4363L00000XNurse PractitionerYes

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
12034740MEDICAIDWASHINGTON

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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