MEDICARE: NURSE PRACTITIONER INTEGRATIVE HEALTH

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1225992498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE PRACTITIONER INTEGRATIVE HEALTH

Provider Business Mailing Address
First Line	:	18917 E 12TH CT
Second Line	:
City	:	GREENACRES
State	:	WA
Zip	:	99016-5108
Country	:	US
Telephone Number	:	434-282-4105
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 N SULLIVAN RD STE 20
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99037-8530
Country	:	US
Telephone Number	:	434-282-4105
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/NP
Name	:	CORINNE A AUSTIN
Credential	:	NP
Telephone Number	:	434-282-4105

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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