MISS SAMUELLE GENEVIEVRE INEVIL


Address: 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592
Phone: 9543837340

MISS SAMUELLE GENEVIEVRE INEVIL (NPI# 1306485370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306485370
Entity Type Individual
Full Name MISS SAMUELLE GENEVIEVRE INEVIL
Credential MSN, APRN, FNP-BC
Practice Address 4455 Interlake Ave N Unit 524
Seattle
WA 98103-7592
Practice Telephone 9543837340
Enumeration Date 2019-12-23
Last Update Date 2020-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
61033766 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN11004900 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
367 Pine Shadow Ln, Auburndale, FL 338232725 9543837340

Office Location

Street Address 4455 INTERLAKE AVE N UNIT 524
City SEATTLE
State WA
Zip Code 98103-7592

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881291003 Allison Walzer Nurse Practitioner 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 2020-10-01
1841800521 Lauren Levesque Nurse Practitioner 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 2020-08-06
1225647381 Donica Liwanag Badua Nurse Practitioner 819 Virginia St Unit 2605, Seattle, WA 98101-4430 2020-07-24
1326664145 William Silas Nichols Nurse Practitioner 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 2020-06-17
1841838422 Rachel Sasinowski Herrmann Nurse Practitioner 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 2019-12-14
1265085542 Hyunjoo Hannah Bae Nurse Practitioner 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 2019-07-16
1699247874 Brien Claes Barrett Nurse Practitioner 10315 Stone Ave N, Seattle, WA 98133-9419 2018-12-28
1730662057 Heather Renee Grods Nurse Practitioner 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 2018-09-12
1639651086 Amanda Matthews Nurse Practitioner 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 2018-09-02
1790263457 Rachael L Raghunandan Nurse Practitioner 317 Ne Thornton Pl Ste 10a&10, Seattle, WA 98125-8020 2018-08-03
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Competitor

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City SEATTLE
Zip Code 98103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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