MEDICARE: STELLA LOICHOT NBC-HWC

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1659108009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA LOICHOT NBC-HWC

Provider Business Mailing Address
First Line	:	4109 46TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4109 46TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4125
Country	:	US
Telephone Number	:	425-610-9037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	09/30/2024

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Directions to “ STELLA LOICHOT NBC-HWC” Practice Location

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