Provider Demographics
NPI:1932492071
Name:NFB, PLLC
Entity Type:Organization
Organization Name:NFB, PLLC
Other - Org Name:GREENLAKE PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:F
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-524-5656
Mailing Address - Street 1:6800 E GREEN LAKE WAY N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5489
Mailing Address - Country:US
Mailing Address - Phone:206-524-5656
Mailing Address - Fax:206-524-2841
Practice Address - Street 1:6800 E GREEN LAKE WAY N
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5489
Practice Address - Country:US
Practice Address - Phone:206-524-5656
Practice Address - Fax:206-524-2841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty