Prudent Medical Providers NW
NPI #1699364455 in Federal Way, Washington
Provider Information
- NPI Number
- 1699364455
- Entity Type
- Organization
- Organization Name
- Prudent Medical Providers NW
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 15, 2021
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 1045 S 320TH ST STE 7
- City
- Federal Way
- State
- Washington
- ZIP Code
- 98003-5179
- Phone
- (206) 212-6554
Authorized Official
- Name
- KRISTYN DICE
- Title
- CONTRACTING MANAGER
- Phone
- (208) 717-3944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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