Ezzia Healthcare Pllc | |
9802 Evergreen Way Everett WA 98204-3828 | |
(781) 775-9026 | |
Not Available |
Full Name | Ezzia Healthcare Pllc |
---|---|
Speciality | Clinic/Center |
Location | 9802 Evergreen Way, Everett, Washington |
Authorized Official Name and Position | Phylis Muthee (OWNER) |
Authorized Official Contact | 7817759026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ezzia Healthcare Pllc 9802 Evergreen Way Everett WA 98204-3828 Ph: (425) 610-3171 | Ezzia Healthcare Pllc 9802 Evergreen Way Everett WA 98204-3828 Ph: (781) 775-9026 |
NPI Number | 1629735618 |
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Provider Enumeration Date | 11/24/2021 |
Last Update Date | 11/22/2023 |
Medicare PECOS PAC ID | 9931590007 |
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Medicare Enrollment ID | O20211228000858 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629735618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Phylis Muthee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598015919 PECOS PAC ID: 3375760978 Enrollment ID: I20220119000497 |
Provider Name | Janet Oladipo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053073114 PECOS PAC ID: 9032505177 Enrollment ID: I20220329002971 |
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