1013522002 NPI number — GABRIELA NAJERA-LEIFER

Table of content: GABRIELA NAJERA-LEIFER (NPI 1013522002)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013522002 NPI number — GABRIELA NAJERA-LEIFER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAJERA-LEIFER
Provider First Name:
GABRIELA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013522002
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3819 84TH ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TULALIP
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98271-9649
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-220-2074
Provider Business Mailing Address Fax Number:
425-312-7501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3819 84TH ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULALIP
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98271-9649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-220-2074
Provider Business Practice Location Address Fax Number:
425-312-7501
Provider Enumeration Date:
09/15/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171R00000X , with the licence number:  MC10887 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)