MRS. GINETTE MARIE DIDOMENICO


Address: 27715 Ne 20th Pl, Carnation, WA 98014-8211
Phone: 4252214657

MRS. GINETTE MARIE DIDOMENICO (NPI# 1558764233) 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) 1558764233
Entity Type Individual
Full Name MRS. GINETTE MARIE DIDOMENICO
Credential ARNP
Practice Address 27715 Ne 20th Pl
Carnation
WA 98014-8211
Mailing Address Po Box 1162
Carnation
WA 98014-1162
Practice Telephone 4252214657
Mailing Telephone 4252214657
Enumeration Date 2014-10-08
Last Update Date 2015-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60508368 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 27715 NE 20TH PL
City CARNATION
State WA
Zip Code 98014-8211

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1114326014 Special Care Agency In Home Supportive Care 4121 Mckinley Avenue, Carnation, WA 98014 2014-08-15
1033535752 Carlos Cruz Occupational Therapy Assistant 4509 B Tolt Ave, Carnation, WA 98014 2014-03-06
1497072151 Carolyn Diane Hoyt Massage Therapist 31563 W Entwistle Street, Carnation, WA 98014 2010-04-21
1417107145 Andrea Linde Counselor 4480 Tolt Avenue, Carnation, WA 98014 2008-09-30
1578750048 Ana Isabel Huston Nurse Practitioner 4563 Tolt Avenue, Carnation, WA 98014 2007-09-28
1245421973 The Snoqualmie Tribe Clinic/Center 4334 Tolt Avenue, Carnation, WA 98014 2007-08-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CARNATION
Zip Code 98014

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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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