Provider Demographics
NPI:1629809819
Name:MOUNTAIN VIEW HEALTHCARE PLLC
Entity type:Organization
Organization Name:MOUNTAIN VIEW HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:TAISIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIGNEA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-240-1234
Mailing Address - Street 1:16301 NE 8TH ST STE 233
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3992
Mailing Address - Country:US
Mailing Address - Phone:425-240-1234
Mailing Address - Fax:
Practice Address - Street 1:16301 NE 8TH ST STE 233
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3992
Practice Address - Country:US
Practice Address - Phone:425-240-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty