# NOVARI PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1598272155
- **Authorized official:** KARLA CHANEY BALLEW ARNP (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (425) 405-8089

## Contact information

- **Practice address:** 4686 POINTES DR STE 219, MUKILTEO, WA 98275
- **Practice address phone:** (425) 405-8089
- **Practice address fax:** (425) 426-2277
- **Mailing address:** 4686 POINTES DR STE 219, MUKILTEO, WA 98275-6038
- **Mailing address phone:** (425) 405-8089
- **Mailing address fax:** (425) 426-2277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 10/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2034740 | — | WA |