# GITCHEL HOME BASED PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295164705
- **Authorized official:** ANNE MARIE GITCHEL NP (NP)
- **Authorized official phone:** (206) 707-3949

## Contact information

- **Practice address:** 28605 227TH AVE SE, MAPLE VALLEY, WA 98038-3347
- **Practice address phone:** (206) 707-3949
- **Mailing address:** 28605 227TH AVE SE, MAPLE VALLEY, WA 98038-3347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | AP60407635 | WA | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013