GREGORY BRYANT PROULX (NPI# 1982038063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982038063 |
| Entity Type | Individual |
| Full Name | GREGORY BRYANT PROULX |
| Credential | ARNP |
| Practice Address |
15214 Canyon Rd E Ste 120 Puyallup WA 98375-7472 |
| Practice Telephone | 2535394200 |
| Practice Fax Number | 2535396025 |
| Mailing Telephone | 2535394200 |
| Mailing Fax Number | 2535396025 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60390201 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10004 204th Ave E Ste 1200, Bonney Lake, WA 983916537 | 2538485951 | 2538457073 |
| 10004 204th Ave E Ste 3400, Bonney Lake, WA 983916536 | 2538485951 | 2538457073 |
| Street Address |
15214 CANYON RD E STE 120 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-7472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124034723 | Marjorie A Bergsma | Physician Assistant | 15214 Canyon Rd E, Ste 100, Puyallup, WA 98375-7472 | 2006-08-01 |
| 1023667052 | Vicky Lee | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375-7457 | 2019-09-11 |
| 1962921767 | Sherri Lynne Hall | Dietitian, Registered | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2017-09-12 |
| 1639609159 | Yolanda Lacher Bradford Rodriguez | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375 | 2017-06-18 |
| 1508107087 | Debra Ann Berger | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2013-03-08 |
| 1952646424 | Marvin Paleracio Tolentino | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2012-12-10 |
| 1285979351 | Kimberly Wing-wah Chu | Registered Nurse | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2012-11-30 |
| 1184992091 | Emily Katherine Ann Turnbull | Registered Nurse | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2011-12-06 |
| 1326357260 | Anna Kali Worden | Nurse Practitioner | 15214 Canyon Rd E, Ste 100, Puyallup, WA 98375-7472 | 2010-09-27 |
| 1205151958 | Igor Nazarov | General Practice | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2010-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473103 | Deanna Jaye Mehlhoff | Nurse Practitioner | 18622 94th Avenue Ct E, Puyallup, WA 98375-9644 | 2020-03-24 |
| 1740824960 | Lisa A Duran | Nurse Practitioner | 2117 27th Pl Se, Puyallup, WA 98372-5145 | 2019-10-30 |
| 1467093534 | Bridgitte Sims | Nurse Practitioner | 15207 105th Avenue Ct E, Puyallup, WA 98374-9748 | 2019-09-30 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1174070213 | Ericka Marie Gianotto | Nurse Practitioner | 2930 S Meridian Ste 200, Puyallup, WA 98373-1654 | 2016-09-07 |
| 1174938914 | Janet Howe | Nurse Practitioner | 400 15th Ave Se Ste B, Puyallup, WA 98372-3750 | 2014-06-30 |
| 1417202656 | Jessica Anne Greb | Nurse Practitioner | 16515 Meridian E Ste 104a, Puyallup, WA 98375-6255 | 2012-07-13 |
| 1497718316 | Courtney Anne Albert | Nurse Practitioner | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2006-04-11 |
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1851398739 | Denise R Cummings | Nurse Practitioner | 1002 39th Ave Sw Ste 203, Puyallup, WA 98373-3805 | 2005-07-07 |
| Find all providers in PUYALLUP | ||||
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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.