Provider Demographics
NPI:1326708496
Name:INTEGRITY HEALTHCARE PLLC
Entity Type:Organization
Organization Name:INTEGRITY HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:MUMBU
Authorized Official - Last Name:KATUMU
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:314-398-4426
Mailing Address - Street 1:18130 97TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-6321
Mailing Address - Country:US
Mailing Address - Phone:314-398-4426
Mailing Address - Fax:
Practice Address - Street 1:18130 97TH AVE E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-6321
Practice Address - Country:US
Practice Address - Phone:314-398-4426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty