Organization Name: | ALLIED PAIN MANAGEMENT LLC |
NPI Number: | 1558628891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN JOAN HENDERSON (NURSE PRACTITIONER) |
Mailing Address: | 10501 Creek St Se Ste 2 Yelm |
State: | WA US |
Postal Code: | 985979805 |
Phone Number: | 3608944702 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2012 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30007081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |