Provider Demographics
NPI:1801677760
Name:HIGHCARE MEDICAL CONSULTANTS PLLC
Entity type:Organization
Organization Name:HIGHCARE MEDICAL CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BAKARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARONG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP ARNP -AGACNP-BC
Authorized Official - Phone:425-268-7279
Mailing Address - Street 1:12433 ADMIRALTY WAY APT Q403
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7570
Mailing Address - Country:US
Mailing Address - Phone:425-268-7279
Mailing Address - Fax:
Practice Address - Street 1:12433 ADMIRALTY WAY APT Q403
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7570
Practice Address - Country:US
Practice Address - Phone:425-268-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty