Miss Salome Khasungu Shivachi, RN is a
Registered Nurse based in Pacific, Washington. Miss Salome Khasungu Shivachi is licensed to practice in Washington (license number RN60618577) and her current practice location is
208 Tacoma Blvd N, Pacific, Washington. She can be reached at her office (for appointments etc.) via phone at
(205) 356-5838.
NPI number for Miss Salome Khasungu Shivachi is 1760986160 and her current mailing address is 208 Tacoma Blvd N, Pacific, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760986160.
Provider's Profile
Full Name | Miss Salome Khasungu Shivachi |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 208 Tacoma Blvd N, Pacific, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760986160
- Provider Enumeration Date: 03/20/2018
- Last Update Date: 03/20/2018
Medical Identifiers
Medical identifiers for Miss Salome Khasungu Shivachi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760986160 | NPI | - | NPPES |
H2014 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN60618577 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Salome Khasungu Shivachi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Salome Khasungu Shivachi, RN 208 Tacoma Blvd N, Pacific, WA 98047-1010 Ph: (205) 356-5838 | Miss Salome Khasungu Shivachi, RN 208 Tacoma Blvd N, Pacific, WA 98047-1010 Ph: (205) 356-5838 |
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