| Affordable Tms & General Psychiatry | |
|
4007 Bridgeport Way W Ste B University Place WA 98466-4330 | |
| (253) 234-4199 | |
| (206) 594-6141 |
| Full Name | Affordable Tms & General Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4007 Bridgeport Way W Ste B, University Place, Washington |
| Authorized Official Name and Position | Ayub Mwaura (PMHNP) |
| Authorized Official Contact | 9198104436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Tms & General Psychiatry Po Box 65512 Tacoma WA 98464-1512 Ph: (253) 234-4199 | Affordable Tms & General Psychiatry 4007 Bridgeport Way W Ste B University Place WA 98466-4330 Ph: (253) 234-4199 |
| NPI Number | 1679286918 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 2264807072 |
|---|---|
| Medicare Enrollment ID | O20230410001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679286918 | NPI | - | NPPES |
| 1780354944 | Medicaid | WA |
| Provider Name | Ayub Mwaura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780354944 PECOS PAC ID: 2668860222 Enrollment ID: I20211101001362 |
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