Active NPI
Northwest Vein & Aesthetic Center
- Family Nurse Practitioner
- Gig Harbor, WA
National Provider Identifier
1063729952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NORTHWEST VEIN & AESTHETIC CENTER
- Practice address
- 4700 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1706 - Phone
- (253) 857-8346
- NPI assigned
- Sep 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aksel Nordestgaard, M.D.
- Title
- M.D.
- Phone
- (253) 857-8346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1706
Mailing address
4700 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1706
Phone (253) 857-8346
National Provider Directory
National Provider DirectoryLocations
4700 Point Fosdick Dr
Ste 307
Gig Harbor, WA 98335
Phone (253) 857-8346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284336000000",
"number": "1063729952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW STE 307",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-857-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW STE 307",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-857-8346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST VEIN & AESTHETIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A",
"authorized_official_last_name": "NORDESTGAARD",
"authorized_official_first_name": "AKSEL",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "253-857-8346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
- Northland Hearing Centers Inc
- Northland Hearing Centers, Inc.
- Northwest Center for Sports Medicine & Physical Therapy, Inc.
- Northwest Medical Specialist
- Northwest Psychological Services, Inc.
- Northwest Vein and Aesthetic Center PS
- Lily Sierra Novak, AUD
- Novel Healthcare, PLLC
- Michael Nicholas Nunn, PN
- Jocelyn Elise Nussbaum
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.