Eliana P Duff
Individual provider Active NPI Attendant Care Provider · La Center, WA
NPI 1417620394 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1417620394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 111 E 15TH PL
La Center, WA 98629-2663 - Phone
- (360) 830-7729
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | WA | Yes |
Addresses
Primary practice location
111 E 15TH PL
La Center, WA 98629-2663
Mailing address
111 E 15TH PL
La Center, WA 98629-2663
Phone (360) 830-7729
Other practice location 1
111 E 15th Pl
LA Center, WA 98629-2663
Phone (360) 830-7729
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All providers in La Center, 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 27, 2021. 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.