NPI 1164287751 · live from the CMS NPI Registry
Lindsey Marjama-Taft
Nurse Practitioner, Family in Vancouver, WA. National Provider Identifier 1164287751, active.
NPI record
| NPI | 1164287751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | Neurology At Salmon Creek, 2121 N.E. 139th St., Medical Office Building A, Suite 205, Vancouver, WA 98686 |
| Practice phone | 360-487-4707 |
| Mailing address | 4421 W 58th St Unit 12, Sioux Falls, SD 57108 |
| Enumerated | February 14, 2024 |
| Last updated | February 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 10006831 (OR) |
| Psychiatry & Neurology, Neurology | 2084N0400X | AP61517954 (WA) |
| Nurse Practitioner, Family primary | 363LF0000X | AP61517954 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.