LEIGH ANNE COLLINS - VAZQUEZ ATECAS


Address: 217 N Boone St Ste C, Aberdeen, WA 98520-7612
Phone: 3606379421

LEIGH ANNE COLLINS - VAZQUEZ ATECAS (NPI# 1437645892) 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) 1437645892
Entity Type Individual
Full Name LEIGH ANNE COLLINS - VAZQUEZ ATECAS
Credential FNP
Practice Address 217 N Boone St Ste C
Aberdeen
WA 98520-7612
Mailing Address 21 Ne Romance Hill Rd
Belfair
WA 98528-8315
Practice Telephone 3606379421
Mailing Telephone 3602772950
Enumeration Date 2018-07-09
Last Update Date 2019-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP60872229 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP60872229 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 83-1064079 05
WA 1437645892 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
21 Ne Romance Hill Rd, Belfair, WA 985288315 3602772950
871 E Crestview Dr, Shelton, WA 985847994 3604625030

Office Location

Street Address 217 N BOONE ST STE C
City ABERDEEN
State WA
Zip Code 98520-7612

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City ABERDEEN
Zip Code 98520

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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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