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NPI Code Detail

MEDICARE: MS. NIKKI L BEHNER A.R.N.P.

MEDICARE: MS. NIKKI L BEHNER A.R.N.P.
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP30001966WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20124374OTHERANCC CREDENTIAL
3AP30001966OTHERWAPROFESSIONAL ADVANCED PRACTICE NURSING LICENSE

General Provider Information

NPI Number : 1548472244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NIKKI L BEHNER A.R.N.P.
Provider Business Mailing Address
First Line : 117 N 1ST ST STE 55
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2858
Country : US
Telephone Number : 360-588-4950
Fax Number : 360-873-8041
Provider Business Practice Location Address
First Line : 117 N 1ST ST STE 55
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2858
Country : US
Telephone Number : 360-588-4950
Fax Number : 360-873-8041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 03/07/2023

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