Joy Lynn Bamford, LPN
Individual provider Active NPI Licensed Practical Nurse · Lewis McChord, WA
NPI 1184129082 · NPPES record last updated Mar 24, 2018
Key facts
- NPI
- 1184129082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LP60799288 (WA)
- Practice address
- 690 Barnes Blvd
Lewis McChord, WA 98438-1303 - Phone
- (253) 982-5601
- NPI assigned
- Mar 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP60799288 | WA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60799288 | WA | Yes |
Addresses
Primary practice location
690 Barnes Blvd
Lewis McChord, WA 98438-1303
Mailing address
9040 Jackson Ave Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Phone (253) 968-3869
Other providers in Lewis McChord, WA
All providers in Lewis McChord, WA · Licensed Practical Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.