COLUMBIA RIVER PRIMARY CARE AND AESTHETICS PLLC


Address: 3501 Road 68 Ste 4, Pasco, WA 99301-1973
Phone: 5095427932

COLUMBIA RIVER PRIMARY CARE AND AESTHETICS PLLC (NPI# 1366088601) 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) 1366088601
Entity Type Organization
Organization Name COLUMBIA RIVER PRIMARY CARE AND AESTHETICS PLLC
Practice Address 3501 Road 68 Ste 4
Pasco
WA 99301-1973
Mailing Address Po Box 2651
Pasco
WA 99302-2651
Practice Telephone 5095427932
Enumeration Date 2019-11-21
Last Update Date 2020-02-19
Authorized Official Name NICHOLE M. SHARP (OWNER)
Authorized Official Telephone 5093660786
Authorized Official Credential DNP-FNP, ARNP
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 3501 ROAD 68 STE 4
City PASCO
State WA
Zip Code 99301-1973

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NPI Name Taxonomy Address Enumeration
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1528451085 Felix Ramos Dentist 7425 Wrigley Dr Ste 201, Pasco, WA 99301 2015-03-09
1861896631 Tri-cities Community Health General Practice 1801 E Sheppard St, Pasco, WA 99301 2014-10-22
1649617861 Thompson.ferguson,steinhart. James.pllc Dentist 6525 Burden Blvd, Pasco, WA 99301 2013-05-29
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1639421720 Comprehensive Healthcare Community/Behavioral Health 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 2012-10-12
1497065395 Danny M Trapp Jr. Counselor 516 W. Margaret, Pasco, WA 99301 2010-10-14
1740510486 Columbia Basin College Dental Hygienist 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 2009-12-31
1417286386 Wanda Marie Good Surgery 1200 N 14th Ave Ste 255, Pasco, WA 99301 2009-12-23
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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
1164829123 Joseph Poston Nurse Practitioner 5007 Marlin Ln, Pasco, WA 99301-7815 2014-11-19
1649481896 Bonnie E. Hinckley Nurse Practitioner 5506 N Road 68, Pasco, WA 99301 2007-05-26
1508912643 Susan Beryl Harp Nurse Practitioner 1608 N Road 44, Pasco, WA 99301-2667 2007-01-25
1780285049 Christina Rodriguez Nurse Practitioner 9221 Sandifur Pkwy Ste A, Pasco, WA 99301-9241 2020-11-03
1386257145 Katherine Rose Slattery Nurse Practitioner 5908 Bedford St Ste C, Pasco, WA 99301-6605 2020-08-30
1780202564 Jennifer Megan Ferguson Nurse Practitioner 515 W Court St, Pasco, WA 99301-3737 2020-07-08
1285259937 Angella Kalyn Mccully Nurse Practitioner 1801 E Sheppard St, Pasco, WA 99301-3567 2020-06-09
1346871662 Lynsey Nichole Bingham Nurse Practitioner 3901 W Court St, Pasco, WA 99301-2776 2020-01-27
1992273007 Mary Ellen Gallant Nurse Practitioner 7425 Wrigley Dr Ste 100, Pasco, WA 99301-5292 2018-11-06
1922586320 Caitlyn Mae Free Uhnak Nurse Practitioner 5304 N Road 68, Pasco, WA 99301-8078 2018-07-30
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Competitor

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City PASCO
Zip Code 99301

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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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