Lyne C Liboiron-bouie, NP | |
24080 Se Kent Kangley Rd, Maple Valley, WA 98038-6851 | |
(253) 372-7680 | |
Not Available |
Full Name | Lyne C Liboiron-bouie |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 24080 Se Kent Kangley Rd, Maple Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194506105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 61489910 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Lyne C Liboiron-bouie, NP 12425 16th St E, Edgewood, WA 98372-1687 Ph: (512) 300-7346 | Lyne C Liboiron-bouie, NP 24080 Se Kent Kangley Rd, Maple Valley, WA 98038-6851 Ph: (253) 372-7680 |
Kathleen Gayle Tabaquin Boado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26913 223rd Ln Se, Maple Valley, WA 98038 Phone: 808-397-6119 | |
Mijin Han, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23745 225th Way Se Ste 201, Maple Valley, WA 98038 Phone: 888-674-5871 | |
Rachel Malof, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23745 225th Way Se Ste 201, Maple Valley, WA 98038 Phone: 888-674-5871 | |
Sade Khorami, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23745 225th Way Se Ste 201, Maple Valley, WA 98038 Phone: 888-674-5871 | |
Travis Anthony Dalton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27203 216th Ave Se, Ste D, Maple Valley, WA 98038 Phone: 425-656-4100 Fax: 425-656-4109 | |
Natalie Rae Ervin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27203 216th Ave Se Ste D, Maple Valley, WA 98038 Phone: 425-690-3425 Fax: 425-690-9425 |