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NPI Code Detail

MEDICARE: OMAR M SAINE ARNP

MEDICARE: OMAR M SAINE ARNP
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
1163W00000XRegistered NurseRN60094085WA
2363LP2300XPrimary Care Nurse PractitionerAP61004470WA

General Provider Information

NPI Number : 1679121966
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR M SAINE ARNP
Provider Business Mailing Address
First Line : 707 S GRADY WAY STE 600
Second Line :
City : RENTON
State : WA
Zip : 98057-3227
Country : US
Telephone Number : 206-823-1004
Fax Number : 206-309-3319
Provider Business Practice Location Address
First Line : 707 S GRADY WAY STE 600
Second Line :
City : RENTON
State : WA
Zip : 98057-3227
Country : US
Telephone Number : 206-823-1004
Fax Number : 206-309-3319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 11/26/2019

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Directions to “ OMAR M SAINE ARNP” Practice Location

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