| Organization Name: | GITCHEL HOME BASED PRIMARY CARE |
| NPI Number: | 1295164705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNE MARIE GITCHEL (NP) |
| Mailing Address: | 28605 227th Ave Se Maple Valley |
| State: | WA US |
| Postal Code: | 980383347 |
| Phone Number: | 2067073949 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2013 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP60407635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |