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NPI Verification

National Provider Identifier: 1881125284

Ambassador's Health Alliance

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Nurse Practitioner, Family

Code: 363LF0000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

4 STOLLER RD

TROUT LAKE, WA 986509712

Phone: 509-395-2061

NPI Enumeration Date

March 27, 2017

NPI Number

1881125284

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