Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE HEALTH & SERVICES-WA
Active OrganizationPROVIDENCE HEALTH & SERVICES-WA is a Pediatric Nurse Practitioner organization located in EVERETT, Washington. NPI 1790936185 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · EVERETT, WA
Registration Details
- NPI Number
- 1790936185
- Provider Type
- Organization
- NPI Issued
- Oct 4, 2008 (17.673994244006 yrs)
- Last Updated
- Feb 10, 2026
- License
-
HAC.FS.00000084 (WA)
Practice Information
- Address
-
900 PACIFIC AVEFIRST FLOOREVERETT, WA, 982014168Browse WA providers · Browse ZIP 98201
- Phone
- 4252587311
- Fax
- 4252587618
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- General Acute Care Hospital
- Additional Specialty
- Nutritionist
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Developmental Disabilities Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.