| Nurses Diversified Systems, Inc | |
|
219 1st Ave S Ste 310 Seattle WA 98104-2551 | |
| (907) 374-0852 | |
| (907) 374-0854 |
| Full Name | Nurses Diversified Systems, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 219 1st Ave S Ste 310, Seattle, Washington |
| Authorized Official Name and Position | Teresa Ann Brown Lyons (DIRECTOR) |
| Authorized Official Contact | 9073740852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurses Diversified Systems, Inc 815 2nd Ave Ste 122 Fairbanks AK 99701-4469 Ph: (907) 374-0852 | Nurses Diversified Systems, Inc 219 1st Ave S Ste 310 Seattle WA 98104-2551 Ph: (907) 374-0852 |
| NPI Number | 1831710722 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 7517127996 |
|---|---|
| Medicare Enrollment ID | O20200605000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831710722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Teresa Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043524218 PECOS PAC ID: 8820260847 Enrollment ID: I20200608000702 |
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