Organization
NOVARI PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA CHANEY BALLEW ARNP (CEO/MEDICAL DIRECTOR)
(425) 405-8089
Entity
Organization
Contact information
Practice address
4686 POINTES DR STE 219, MUKILTEO, WA 98275
(425) 405-8089
(425) 426-2277
Mailing address
4686 POINTES DR STE 219, MUKILTEO, WA 98275-6038
(425) 405-8089
(425) 426-2277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034740
—
WA
Enumeration date
01/04/2018
Last updated
10/22/2021
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