Provider Demographics
NPI:1568864320
Name:PIPERNP PSYCHIATRY SERVICES
Entity Type:Organization
Organization Name:PIPERNP PSYCHIATRY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PIPER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUERSMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-836-8162
Mailing Address - Street 1:5512 NE 109TH CT
Mailing Address - Street 2:SUITE A1
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6175
Mailing Address - Country:US
Mailing Address - Phone:360-836-8162
Mailing Address - Fax:360-419-5252
Practice Address - Street 1:5512 NE 109TH CT
Practice Address - Street 2:SUITE A1
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6175
Practice Address - Country:US
Practice Address - Phone:360-254-0493
Practice Address - Fax:360-419-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60211815363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty