| Gen Advanced Healthcare Consulting Llc | |
|
600 1st Ave Ste 102 Seattle WA 98104-2287 | |
| (206) 895-1259 | |
| (206) 895-1274 |
| Full Name | Gen Advanced Healthcare Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 1st Ave Ste 102, Seattle, Washington |
| Authorized Official Name and Position | Glory Nwankwo (PROVIDER) |
| Authorized Official Contact | 2065613933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gen Advanced Healthcare Consulting Llc 600 1st Ave Ste 102 Seattle WA 98104-2287 Ph: (206) 895-1259 | Gen Advanced Healthcare Consulting Llc 600 1st Ave Ste 102 Seattle WA 98104-2287 Ph: (206) 895-1259 |
| NPI Number | 1295457711 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 9032563010 |
|---|---|
| Medicare Enrollment ID | O20230925002286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295457711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Glory Nwankwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396195996 PECOS PAC ID: 1951692607 Enrollment ID: I20230925002725 |
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