| Seachange Health & Wellness Inc | |
|
1915 25th Ave S Unit A Seattle WA 98144-4708 | |
| (206) 632-9522 | |
| (877) 883-1876 |
| Full Name | Seachange Health & Wellness Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1915 25th Ave S Unit A, Seattle, Washington |
| Authorized Official Name and Position | Kathy J Wilmering (PRESIDENT) |
| Authorized Official Contact | 2066329522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seachange Health & Wellness Inc 4412 California Ave Sw Unit 16325 Seattle WA 98116-0816 Ph: (206) 632-9522 | Seachange Health & Wellness Inc 1915 25th Ave S Unit A Seattle WA 98144-4708 Ph: (206) 632-9522 |
| NPI Number | 1841334786 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/01/2023 |
| Medicare PECOS PAC ID | 3375627474 |
|---|---|
| Medicare Enrollment ID | O20080228000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841334786 | NPI | - | NPPES |
| Provider Name | Kathy J Wilmering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083758924 PECOS PAC ID: 1456373232 Enrollment ID: I20051221000153 |
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