# IN HOME PRIMARY CARE, PLLC

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

## Provider details

- **NPI number:** 1356469720
- **Authorized official:** BETTY A WESTFALL MN,ARNP (MANAGING MEMBER)
- **Authorized official phone:** (360) 863-3657

## Contact information

- **Practice address:** 127 AVENUE A BAY 3, STE 1 & 2, SNOHOMISH, WA 98290-2962
- **Practice address phone:** (360) 863-3657
- **Practice address fax:** (360) 863-6295
- **Mailing address:** 127 AVENUE A BAY 3, STE 1 & 2, SNOHOMISH, WA 98290-2962
- **Mailing address phone:** (360) 863-3657
- **Mailing address fax:** (360) 863-6295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | AP30005721 | WA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 04/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7117237 | — | WA |