Nam, Gloria Youngju

Nam, Gloria Youngju is an individual health care provider with primary practice located at 33507 9Th Ave. S. Suite A, Federal Way WA 98003-6397. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Nam, Gloria Youngju can be contacted via phone (253) 874-5404.

Contact Information

Primary practice address
33507 9Th Ave. S. Suite A Federal Way WA 98003-6397
Phone: (253) 874-5404
Fax: (253) 874-8964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00153013 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP30006808 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP30006808 Washington

Profile Details

NPI number 1609836717
LBN Legal business name Nam, Gloria Youngju
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 21st, 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 1609836717 NPPES
Washington MEDICAID 9643594

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