Gloria Yunchung Chung
Individual provider Active NPI Home Health Registered Nurse · Enumclaw, WA
NPI 1396019287 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1396019287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RN60226861 (WA)
- Practice address
- 40903 236TH Ave SE
Enumclaw, WA 98022-8606 - Phone
- (360) 825-6525
- NPI assigned
- Feb 24, 2012
- 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 |
|---|---|---|---|
| RN60226861 | WA | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60226861 | WA | |
| Home Health Registered Nurse | 163WH0200X | RN60226861 | WA | Yes |
Addresses
Primary practice location
40903 236TH Ave SE
Enumclaw, WA 98022-8606
Mailing address
40903 236TH Ave SE
Enumclaw, WA 98022-8606
Phone (360) 825-6525
Other providers in Enumclaw, WA
- Hunter Chlebowski
- Daniel Cho
- Tammy Lee Christensen
- Tisha Christenson-Dillon
- Christopher P Koontz, DDS, PS
- James E Clark
- Debra Joyce Cleland
- Daniel T Clerc
- Alice L Coles
- Commonspirit Washington
All providers in Enumclaw, WA · Home Health Registered 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 Feb 24, 2012. 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.