MICHELLE BROZICK (NPI# 1477837342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477837342 |
| Entity Type | Individual |
| Full Name | MICHELLE BROZICK |
| Credential | LMP |
| Practice Address |
2908 Meridian Ave E Ste 101 Edgewood WA 98371-2191 |
| Practice Telephone | 2533186570 |
| Mailing Telephone | 2533186570 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60232833 | WA | Other Service Providers |
| Street Address |
2908 MERIDIAN AVE E STE 101 |
| City | EDGEWOOD |
| State | WA |
| Zip Code | 98371-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190415 | Christopher Gerald Kessler | Specialist | 23 Pinto Rd, Edgewood, NM 87015-7935 | 2013-09-10 |
| 1952602641 | Kirsten Holmquist | Specialist | 2209 88th Ave E, Edgewood, WA 98371-1911 | 2010-11-11 |
| 1740416460 | Jennifer Ann George | Specialist | 4912 110th Avenue Ct E, Apt #2, Edgewood, WA 98372-2271 | 2009-06-09 |
| 1699944496 | Harford On-call Medical Services, LLC | Specialist | 2120 Emmorton Park Rd, Suite E, Edgewood, MD 21040-1066 | 2008-02-26 |
| 1043425911 | Sonya Cooper | Specialist | 45 Derek James Dr, Edgewood, NM 87015-9707 | 2007-05-13 |
| 1003032434 | Kyle Eugene Clyde | Specialist | 2809 Meridian E., Edgewood, WA 98371 | 2007-04-17 |
| 1295851178 | Lori Erpenbeck | Specialist | 1 Sperti Dr, Edgewood, KY 41017-9654 | 2007-03-22 |
| 1730175472 | Juanito F. Lopez Jr. | Specialist | 1012 Edgewood Rd, Edgewood, MD 21040-1606 | 2005-09-27 |
| 1932449113 | Bebe Makena | Specialist | 1851 Old Us 66, Edgewood, NM 87015 | 2013-02-25 |
| 1710282280 | Benjamin Alwell | Specialist | 1 Sperti Dr, Edgewood, KY 41017-9654 | 2011-01-14 |
| Find all providers in EDGEWOOD | ||||
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| 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.