# HOLISTIA HEALTHCARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PCP-MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063275352
- **Legal business name:** PCP-MEDICAL
- **Authorized official:** IOANA MARIA HALL (OWNER)
- **Authorized official phone:** (206) 799-8476

## Contact information

- **Practice address:** 11220 127TH AVE NE, KIRKLAND, WA 98033-4121
- **Practice address phone:** (425) 645-6071
- **Mailing address:** 11220 127TH AVE NE, KIRKLAND, WA 98033-4121
- **Mailing address phone:** (425) 645-6071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024