Gwendolyn Jean McMurtrey Ingels
Individual provider Active NPI Attendant Care Provider · Vaughn, WA
NPI 1326326992 · NPPES record last updated Jul 29, 2011
Key facts
- NPI
- 1326326992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 17011 S Vaughn Road KPN
Vaughn, WA 98394 - Phone
- (253) 303-0239
- NPI assigned
- Jul 29, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
17011 S Vaughn Road KPN
Vaughn, WA 98394
Mailing address
PO Box 143
Vaughn, WA 98394-0143
Phone (253) 303-0239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051868792 | Medicaid | WA | |
| 200387647 | Medicaid | WA |
Other providers in Vaughn, WA
- Christy Grace Campbell
- Kimberly Heming
- Alexandra Lofdahl I
- Joseph Deal Mendenhall
- Sharay A Nickles
- Work Point LLC
All providers in Vaughn, WA · Attendant Care Provider in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2011. 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.