Doctor Name: | MRS. RUGARE MUGABE KHOSA |
NPI Number: | 1013394154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60556927 |
Business Practice Address: | 15127 Ne 24th St #301 Redmond, WA - 980525544 |
Business Phone Number: | 9725229667 |
Business Fax Number: | |
Mailing Address: | 15127 Ne 24th St, #301 REDMOND |
State: | WA |
Postal Code: | 980525544 |
Phone Number: | 9725229667 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2015 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60556927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |