Vasilas, Georgianna Nicole

Vasilas, Georgianna Nicole is an individual health care provider with primary practice located at 34509 9Th Ave S Ste 204 , Federal Way WA 98003-8708. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vasilas, Georgianna Nicole can be contacted via phone (538) 355-5102.

Contact Information

Primary practice address
34509 9Th Ave S Ste 204 Federal Way WA 98003-8708
Phone: (538) 355-5102
Fax: (253) 835-5511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55210 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60921113 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60921113 Washington

Profile Details

NPI number 1346774106
LBN Legal business name Vasilas, Georgianna Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2017
Last updated Nov 22nd, 2021 - about 4 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 1346774106 NPPES
Washington MEDICAID 2166472

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