Healthcare Provider Details

I. General information

NPI: 1124066675
Provider Name (Legal Business Name): PARKVIEW FIRST ASSISTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 CHERRY AVE
BREMERTON WA
98310-4229
US

IV. Provider business mailing address

PO BOX 2063
BREMERTON WA
98310-0239
US

V. Phone/Fax

Practice location:
  • Phone: 360-531-0951
  • Fax: 360-437-9162
Mailing address:
  • Phone: 360-531-0951
  • Fax: 360-437-9162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name: JANE ANDREA MINISH
Title or Position: CERTIFIED REGISTERED NURSE FIRST AS
Credential: RN, BSN, CNOR, CRNFA
Phone: 360-531-0951