| Holly Minnick-bishop Arnp, Llc | |
|
6212 75th St W Lakewood WA 98499-8368 | |
| (253) 983-8507 | |
| (253) 983-8576 |
| Full Name | Holly Minnick-bishop Arnp, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6212 75th St W, Lakewood, Washington |
| Authorized Official Name and Position | Holly Minnick-bishop (OWNER) |
| Authorized Official Contact | 2539838507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Minnick-bishop Arnp, Llc 6212 75th St W Lakewood WA 98499-8368 Ph: (253) 983-8507 | Holly Minnick-bishop Arnp, Llc 6212 75th St W Lakewood WA 98499-8368 Ph: (253) 983-8507 |
| NPI Number | 1295180669 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Medicare PECOS PAC ID | 0648563411 |
|---|---|
| Medicare Enrollment ID | O20160801002572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295180669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AP60594013 (Washington) | Primary |
| Provider Name | Holly Renae Minnick-bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790157923 PECOS PAC ID: 1355646456 Enrollment ID: I20160301000165 |
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