Organization
PREMIER DIABETES CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY LEE MOUA ARNP (PRESIDENT/OWNER)
(425) 344-0929
Entity
Organization
Contact information
Practice address
16404 SMOKEY POINT BLVD, SUITE 102, ARLINGTON, WA 98223
(425) 318-7144
(425) 748-7378
Mailing address
16404 SMOKEY POINT BLVD, SUITE 102, ARLINGTON, WA 98223
(425) 318-7144
(425) 748-7378
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235696568
NPI
WA
05
—
2125115
—
WA
01
—
G8995537
MEDICARE
WA
Enumeration date
02/22/2019
Last updated
07/26/2022
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