| Anna E Vail Pmhnp, Inc. | |
|
1205 32nd St Bellingham WA 98225-6917 | |
| (503) 819-5412 | |
| Not Available |
| Full Name | Anna E Vail Pmhnp, Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1205 32nd St, Bellingham, Washington |
| Authorized Official Name and Position | Anna E Vail (PRESIDENT) |
| Authorized Official Contact | 3602076119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna E Vail Pmhnp, Inc. 1205 32nd St Bellingham WA 98225-6917 Ph: (360) 207-6119 | Anna E Vail Pmhnp, Inc. 1205 32nd St Bellingham WA 98225-6917 Ph: (503) 819-5412 |
| NPI Number | 1548885064 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 4183043029 |
|---|---|
| Medicare Enrollment ID | O20200928000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548885064 | NPI | - | NPPES |
| 1871780759 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Anna E Vail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871780759 PECOS PAC ID: 2062597347 Enrollment ID: I20160105001367 |
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