Conway, Ardith Louise

Conway, Ardith Louise is an sole proprietor health care provider with primary practice located at 1112 Washington Ave , Enumclaw WA 98022-3547. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Conway, Ardith Louise can be contacted via phone (503) 806-7148.

Contact Information

Primary practice address
1112 Washington Ave Enumclaw WA 98022-3547
Phone: (503) 806-7148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 60291192 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60291192 Washington

Profile Details

NPI number 1689850190
LBN Legal business name Conway, Ardith Louise
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Dec 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689850190 NPPES
Washington MEDICAID 2016230

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