Nam, Gloria Youngju
Nam, Gloria Youngju is an individual health care provider with primary practice located at 33507 9Th Ave. S. Suite A, Federal Way WA 98003-6397. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Nam, Gloria Youngju can be contacted via phone (253) 874-5404.Contact Information
Primary practice address
33507 9Th Ave. S. Suite A
Federal Way WA 98003-6397
Phone: (253) 874-5404
Fax: (253) 874-8964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00153013 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AP30006808 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP30006808 | Washington |
Profile Details
| NPI number | 1609836717 |
|---|---|
| LBN Legal business name | Nam, Gloria Youngju |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609836717 | NPPES |
| Washington | MEDICAID | 9643594 |
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