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NPI Code Detail

MEDICARE: NANCY ANNE HILLEL MIOVIC PSY.D.

MEDICARE: NANCY ANNE HILLEL MIOVIC PSY.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1861515249
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY ANNE HILLEL MIOVIC PSY.D.
Provider Business Mailing Address
First Line : 3206 E PIKE ST
Second Line :
City : SEATTLE
State : WA
Zip : 98122-3358
Country : US
Telephone Number : 206-726-4862
Fax Number :
Provider Business Practice Location Address
First Line : 2709 E MADISON ST
Second Line : 205
City : SEATTLE
State : WA
Zip : 98112-4738
Country : US
Telephone Number : 206-726-1397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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