Airway Pediatrics, Professional Limited Liability Company
Nurse Practitioner, Pediatrics in Spokane, WA. Organization (NPI-2).
NPI number1639864374
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1639864374
- Entity type
- Organization (NPI-2)
- Legal business name
- Airway Pediatrics, Professional Limited Liability Company
- Organization subpart
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Apr 8, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | Yes |
Practice location
10408 W Sunset Hwy Ste 3Spokane, WA 99224-6002
Phone 702-328-2477
Mailing address
808 10th StDavenport, WA 99122-9434
Phone 702-328-2477 · Fax 509-461-5287
Authorized official
Heather Lebo
Owner/Practice Manager
7023282477
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