Integrated Family Medicine
NPI #1649402942 in Lakewood, Washington
Provider Information
- NPI Number
- 1649402942
- Entity Type
- Organization
- Organization Name
- Integrated Family Medicine
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 20, 2009
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 4901 108TH ST SW
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98499-3724
- Phone
- (253) 589-6573
Authorized Official
- Name
- TRACI MICHELLE MANCUSO, ARNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (509) 389-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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