Martin, Vanessa Garen
Martin, Vanessa Garen is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw Ste 319 , Gig Harbor WA 98335-1731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martin, Vanessa Garen can be contacted via phone (253) 853-3888.Contact Information
Primary practice address
4700 Point Fosdick Dr Nw Ste 319
Gig Harbor WA 98335-1731
Phone: (253) 853-3888
Fax: (253) 853-7393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP30007826 | Washington |
Profile Details
| NPI number | 1861652042 |
|---|---|
| LBN Legal business name | Martin, Vanessa Garen |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Apr 27th, 2017 - about 7 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 | 1861652042 | NPPES |
| Washington | MEDICAID | 1861652042 | |
| Washington | Other | 025904 |
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