Gusenkov, Mariya L
Gusenkov, Mariya L is an sole proprietor health care provider with primary practice located at 34509 9Th Ave S Suite 306, Federal Way WA 98003-6700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gusenkov, Mariya L can be contacted via phone (253) 838-1520.Contact Information
Primary practice address
34509 9Th Ave S Suite 306
Federal Way WA 98003-6700
Phone: (253) 838-1520
Fax: (253) 838-4933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30006345 | Washington |
Profile Details
| NPI number | 1942429998 |
|---|---|
| LBN Legal business name | Gusenkov, Mariya L |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942429998 | NPPES |
| Washington | Other | 2159GU | REGENCE BLUE SHIELD |
| Washington | MEDICAID | 9636481 | REGENCE BLUE SHIELD |
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