Airway Pediatrics, Professional Limited Liability Company
Organization Active NPI Pediatric Nurse Practitioner · Spokane, WA
NPI 1639864374 · NPPES record last updated Apr 10, 2023
Key facts
- NPI
- 1639864374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- Legal business name
- AIRWAY PEDIATRICS, PROFESSIONAL LIMITED LIABILITY COMPANY
- Practice address
- 10408 W Sunset Hwy Ste 3
Spokane, WA 99224-6002 - Phone
- (702) 328-2477
- NPI assigned
- Apr 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Heather Lebo
- Title
- Owner/Practice Manager
- Phone
- (702) 328-2477
Practitioners 2
-
Whitney Nicole Bowen, FNP
-
Bryan Scott Lebo, DNP, ARNP, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2286674 | Airway Pediatrics | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
Locations
10408 W Sunset Hwy
Ste 3
Spokane, WA 99224
Phone (509) 418-2799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner |
363LP0200X | Yes |
Addresses
Primary practice location
10408 W Sunset Hwy Ste 3
Spokane, WA 99224-6002
Mailing address
808 10TH St
Davenport, WA 99122-9434
Phone (702) 328-2477
Other providers in Spokane, WA
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All providers in Spokane, WA · Pediatric Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.