N/A

LBN: Prudent Medical Providers Nw
N/A is an health care organization with primary practice located at 1045 S 320Th St Ste 7 , Federal Way WA 98003-5179. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Prudent Medical Providers Nw can be contacted via phone (206) 212-6554, or through Dice, Kristyn via phone (208) 717-3944.

Contact Information

Primary practice address
1045 S 320Th St Ste 7 Federal Way WA 98003-5179
Phone: (206) 212-6554
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dice, Kristyn
Phone: (208) 717-3944

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1699364455
LBN Legal business name Prudent Medical Providers Nw
DBA Doing business as N/A
Authorized official Dice, Kristyn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2021
Last updated Jul 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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