Provider Demographics
NPI:1295583862
Name:SIGN IN PSYCHIATRIC PLLC
Entity type:Organization
Organization Name:SIGN IN PSYCHIATRIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SPANGLER
Authorized Official - Last Name:GREIM
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-246-3740
Mailing Address - Street 1:PO BOX 2283
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98083-2283
Mailing Address - Country:US
Mailing Address - Phone:425-246-3740
Mailing Address - Fax:425-642-6687
Practice Address - Street 1:12220 113TH AVE NE STE 210
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6950
Practice Address - Country:US
Practice Address - Phone:425-246-3740
Practice Address - Fax:425-642-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty