Provider Demographics
NPI:1487689956
Name:NGOCHE, LEAH KR (ARNP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:KR
Last Name:NGOCHE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:KR
Other - Last Name:MACQUARRIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 24366
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0366
Mailing Address - Country:US
Mailing Address - Phone:206-598-0502
Mailing Address - Fax:206-598-0516
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-2675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00135984163W00000X
WAAP30006400363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0204616OtherLABOR & INDUSTRY
WA41155UOtherREGENCE BLUESHIELD
WA9635665Medicaid
WA41155UOtherREGENCE BLUESHIELD
WA0204616OtherLABOR & INDUSTRY
P77432Medicare UPIN