1255689378 NPI number — MISS MIA FRANCESCA SAMBATARO CERTIFIED COUNSELOR

Table of content: MISS MIA FRANCESCA SAMBATARO CERTIFIED COUNSELOR (NPI 1255689378)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255689378 NPI number — MISS MIA FRANCESCA SAMBATARO CERTIFIED COUNSELOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAMBATARO
Provider First Name:
MIA
Provider Middle Name:
FRANCESCA
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
CERTIFIED COUNSELOR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SAMBATARO
Provider Other First Name:
MIA
Provider Other Middle Name:
FRANCESCA
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
CERTIFIED COUNSELOR
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1255689378
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4501 N FOXGLOVE DR NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GIG HARBOR
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98332-9044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5727 BAKER WAY NW STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GIG HARBOR
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98332-5811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-358-3347
Provider Business Practice Location Address Fax Number:
253-358-3347
Provider Enumeration Date:
08/21/2012

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: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com