HomeNPI Verification

NPI Verification

National Provider Identifier: 1235370065

Providence Health & Services Mt

Organization

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Registered Nurse, Wound Care

Code: 163WW0000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

PO BOX 31001 - 4114

PASADENA, CA 911104114

Phone: 406-327-5734

NPI Enumeration Date

March 6, 2009

NPI Number

1235370065

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry