Affordable Tms & General Psychiatry | |
4007 Bridgeport Way W Ste B University Place WA 98466-4330 | |
(253) 234-4199 | |
(206) 594-6141 |
Full Name | Affordable Tms & General Psychiatry |
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Speciality | Nurse Practitioner |
Location | 4007 Bridgeport Way W Ste B, University Place, Washington |
Authorized Official Name and Position | Ayub Mwaura (PMHNP) |
Authorized Official Contact | 9198104436 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Affordable Tms & General Psychiatry Po Box 65512 Tacoma WA 98464-1512 Ph: (253) 234-4199 | Affordable Tms & General Psychiatry 4007 Bridgeport Way W Ste B University Place WA 98466-4330 Ph: (253) 234-4199 |
NPI Number | 1679286918 |
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Provider Enumeration Date | 01/02/2023 |
Last Update Date | 05/08/2023 |
Certification Date | 05/08/2023 |
Medicare PECOS PAC ID | 2264807072 |
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Medicare Enrollment ID | O20230410001540 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679286918 | NPI | - | NPPES |
1780354944 | Medicaid | WA |
Provider Name | Ayub Mwaura |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780354944 PECOS PAC ID: 2668860222 Enrollment ID: I20211101001362 |
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