| Family Practice Pllc | |
|
23753 76th Ave W Edmonds WA 98026-8807 | |
| (206) 618-4692 | |
| Not Available |
| Full Name | Family Practice Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23753 76th Ave W, Edmonds, Washington |
| Authorized Official Name and Position | Manisha Ramdev (OWNER) |
| Authorized Official Contact | 2066184692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Pllc 23753 76th Ave W Edmonds WA 98026-8807 Ph: () - | Family Practice Pllc 23753 76th Ave W Edmonds WA 98026-8807 Ph: (206) 618-4692 |
| NPI Number | 1124788567 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 11/27/2022 |
| Medicare PECOS PAC ID | 7517336894 |
|---|---|
| Medicare Enrollment ID | O20221208000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124788567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Manisha Ramdev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417525734 PECOS PAC ID: 3971981606 Enrollment ID: I20220608000620 |
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