Mai Nitta, | |
17700 Se 272nd St # 440, Covington, WA 98042-4951 | |
(253) 372-7155 | |
Not Available |
Full Name | Mai Nitta |
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Gender | Female |
Speciality | Pediatrics |
Location | 17700 Se 272nd St # 440, Covington, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578940425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60850526 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
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Mai Nitta, P.o. Box 5299, Ms: 1313-5-pco, Tacoma, WA 98415-0299 Ph: () - | Mai Nitta, 17700 Se 272nd St # 440, Covington, WA 98042-4951 Ph: (253) 372-7155 |
Dr. Callie Anne Byrd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 27500 168th Pl Se, Covington, WA 98042 Phone: 425-690-3430 Fax: 425-690-9430 | |
Cheryl L Tan-jacobson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-7156 | |
Dr. Sean Michael Verlander, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27500 168th Pl Se, Covington, WA 98042 Phone: 253-395-2006 Fax: 253-395-1977 |