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BLUE HERON SKILLED NURSING SERVICES NPI 1205179256


NPI Information

NPI: 1205179256
Provider Name: BLUE HERON SKILLED NURSING SERVICES
Classification: Registered Nurse - 163W00000X
Entity Type: Organization
Address:
165 MOON VALLEY DR
QUILCENE, WA
ZIP 98376
Phone: (360) 301-0478
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BLUE HERON SKILLED NURSING SERVICES is a registered nurse in Quilcene, WA. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. BLUE HERON SKILLED NURSING SERVICES NPI is 1205179256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

165 MOON VALLEY DR
QUILCENE, WA
ZIP 98376-411
Phone: (360) 301-0478
Fax: (360) 765-3241

The provider's authorized official is Evelyn L Gunther .
The authorized official title is Partner and has the following contact phone number (360) 774-1988.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 1/20/2015.


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
1163WH0200XRegistered NurseHome HealthRN00058765WASHINGTONNo
2163WC1500XRegistered NurseCommunity HealthRN00046933WASHINGTONNo
3163WC1500XRegistered NurseCommunity HealthRN00058765WASHINGTONNo
4163W00000XRegistered NurseRN00058765WASHINGTONYes

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
1322665OTHERWASHINGTONPROVIDER NUMBER

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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