| |
18 W Mercer St Ste 360 Seattle WA 98119-3993 | |
(734) 358-3275 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 18 W Mercer St Ste 360, Seattle, Washington |
Authorized Official Name and Position | Kristi Ramirez (NP) |
Authorized Official Contact | 7343583275 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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33820 Brittany Dr Farmington Hills MI 48335-1424 Ph: (734) 358-3275 | 18 W Mercer St Ste 360 Seattle WA 98119-3993 Ph: (734) 358-3275 |
NPI Number | 1245920503 |
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Provider Enumeration Date | 05/10/2023 |
Last Update Date | 06/13/2023 |
Medicare PECOS PAC ID | 5597126128 |
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Medicare Enrollment ID | O20230731000652 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245920503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Kristi Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326394586 PECOS PAC ID: 0042534299 Enrollment ID: I20230731000785 |
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