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NPI Code Detail

MEDICARE: MS. ANDREA CHRISTINE PEYTON RC

MEDICARE: MS. ANDREA CHRISTINE PEYTON RC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorRC00053641WA
2101Y00000XCounselor

General Provider Information

NPI Number : 1215011036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANDREA CHRISTINE PEYTON RC
Provider Business Mailing Address
First Line : 3321 W KENNEWICK AVE STE 150
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-6446
Fax Number :
Provider Business Practice Location Address
First Line : 3321 W KENNEWICK AVE STE 150
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-6446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/17/2018

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