MEDICARE: AVANTE HUMAN SERVICES AND ADVOCACY PROJECT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	163W00000X	Registered Nurse
3	171R00000X	Interpreter
4	171100000X	Acupuncturist
5	251E00000X	Home Health Agency
6	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1639580111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVANTE HUMAN SERVICES AND ADVOCACY PROJECT LLC

Provider Business Mailing Address
First Line	:	1312 N MONROE ST STE 305
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 N MONROE ST STE 305
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2623
Country	:	US
Telephone Number	:	509-214-2800
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MA LU
Credential	:
Telephone Number	:	509-214-2800

Provider Enumeration Date	:	05/18/2014
Last Update Date	:	10/04/2014

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