Basic Information
Provider Information
NPI: 1841723426
EntityType: 2
ReplacementNPI:  
OrganizationName: NFM HEALTH INCORPORATED
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
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Mailing Information
Address1: 509 OLIVE WAY
Address2: SUITE 1315
City: SEATTLE
State: WA
PostalCode: 981011720
CountryCode: US
TelephoneNumber: 2063829977
FaxNumber: 2063829933
Practice Location
Address1: 509 OLIVE WAY
Address2: SUITE 1315
City: SEATTLE
State: WA
PostalCode: 981011720
CountryCode: US
TelephoneNumber: 2063829977
FaxNumber: 2063829933
Other Information
ProviderEnumerationDate: 04/10/2017
LastUpdateDate: 04/10/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RICHARDSON
AuthorizedOfficialFirstName: KRYSTAL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER/ NATUROPATHIC DOCTOR
AuthorizedOfficialTelephone: 2063829977
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: ND
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
175F00000XNT60503094WAY193400000X SINGLE SPECIALTY GROUPOther Service ProvidersNaturopath 

No ID Information.


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