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634 7th Ave Kirkland WA 98033-5665 | |
| (425) 336-4113 | |
| (425) 642-5627 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 634 7th Ave, Kirkland, Washington |
| Authorized Official Name and Position | Jasleena Grewal (OWNER) |
| Authorized Official Contact | 4253364113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
634 7th Ave Kirkland WA 98033-5665 Ph: (425) 336-4113 | 634 7th Ave Kirkland WA 98033-5665 Ph: (425) 336-4113 |
| NPI Number | 1790432904 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 6103284229 |
|---|---|
| Medicare Enrollment ID | O20230622001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790432904 | NPI | - | NPPES |
| Provider Name | Jasleena K Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982177168 PECOS PAC ID: 2567877657 Enrollment ID: I20210223002787 |
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