VIRGINIA MOULLET (NPI# 1790221679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790221679 |
| Entity Type | Individual |
| Full Name | VIRGINIA MOULLET |
| Credential | ARNP |
| Practice Address |
560 Gage Blvd Suite 203 Richland WA 99352-8650 |
| Mailing Address |
888 Swift Blvd Richland WA 99352-3514 |
| Practice Telephone | 5099423627 |
| Practice Fax Number | 5099422268 |
| Mailing Telephone | 5099464611 |
| Mailing Fax Number | 5099422185 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
AP60716569 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
560 GAGE BLVD SUITE 203 |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-8650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699747717 | Diane Lorraine Hanks | Nurse Practitioner | 560 Gage Blvd, Suite 102, Richland, WA 99352 | 2006-02-02 |
| 1851826986 | William Ruzicka | Student in an Organized Health Care Education/Training Program | 560 Gage Blvd, #101 and #206, Richland, WA 99352-8650 | 2017-04-26 |
| 1659818318 | Marja Adair | Nurse Practitioner | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2017-01-19 |
| 1124571799 | Karen Michelle Dubois | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2016-07-29 |
| 1619326899 | Elizabeth Zemel | Audiologist | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2016-06-08 |
| 1477914430 | David Goering | Massage Therapist | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2016-03-17 |
| 1568835486 | Thaina C Moravia | Registered Nurse | 560 Gage Blvd, Ste 102, Richland, WA 99352-8650 | 2015-11-02 |
| 1154791135 | Shawna Evans | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2015-10-02 |
| 1679942320 | Rhonda Medina | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2015-09-23 |
| 1619346566 | Marla Gurr | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2015-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679896351 | Kathleen Lynn Ledwick | Nurse Practitioner | 888 Swift Blvd., Richland, WA 99352 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104905561 | Suzanne M, Ramm | Nurse Practitioner | 602 N. 39th Ave., Ste#200, Yakima, WA 98902 | 2006-11-03 |
| 1245880475 | Raelynn Marie Cameron | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-09-19 |
| 1609329697 | Courtney Elizabeth Pullen | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-07-26 |
| 1437514486 | Kristy Francis | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2015-12-17 |
| 1164812798 | Paul Niemi | Nurse Practitioner | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2015-02-03 |
| 1306198536 | Joanna Marie Rives | Nurse Practitioner | 550 17th Ave Fl 5, Swedish Neuroscience Institute, Seattle, WA 98122-5788 | 2012-10-11 |
| 1891848909 | Joan Nelson | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2007-01-19 |
| 1396709986 | Vicki L Zier | Nurse Practitioner | 315 Martin Luther King Jr Way, Ms Z0-ntl, Tacoma, WA 98405-4234 | 2006-04-12 |
Please comment or provide details below to improve the information on VIRGINIA MOULLET.
| 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.