David James Misslbeck, ARNP
Nurse Practitioner, Family in Lacey, WA. Individual provider (NPI-1).
NPI number1184497166
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1184497166
- Entity type
- Individual (NPI-1)
- Name
- David James Misslbeck
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2023
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 61481382 | WA | Yes |
Practice location
2641 Willamette Dr Ne Ste ALacey, WA 98516-1360
Phone 360-548-8995
Mailing address
15150 Sunwood BlvdTukwila, WA 98188-2446
Phone 209-380-8943
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Family Nurse Practitioner providers in Lacey · All 1,962 providers in Lacey
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