BREANNA ROSE EDEN (NPI# 1801148770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801148770 |
Entity Type | Individual |
Full Name | BREANNA ROSE EDEN |
Credential | LMP |
Practice Address |
11430 51st Ave Nw Ste 101a Gig Harbor WA 98332-7897 |
Mailing Address |
17702 Bass Lane Kp N Lakebay WA 98349-8121 |
Practice Telephone | 2538576500 |
Practice Fax Number | 2538572225 |
Mailing Telephone | 2538849915 |
Enumeration Date | 2012-10-03 |
Last Update Date | 2012-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MA60303182 | WA | Other Service Providers |
Street Address |
11430 51ST AVE NW STE 101A |
City | GIG HARBOR |
State | WA |
Zip Code | 98332-7897 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205303286 | Michele Cynthia Lynn Fuerst | Chiropractor | 11430 51st Ave Nw Ste 101a, Gig Harbor, WA 98332-7897 | 2018-10-29 |
1164936134 | Janice Hopkins | Massage Therapist | 11430 51st Ave Nw Ste 101a, Gig Harbor, WA 98332-7897 | 2017-11-28 |
1932546322 | Veronica Cartwright | Specialist | 11430 51st Ave Nw Ste 101a, Gig Harbor, WA 98332-7897 | 2013-05-27 |
1558704643 | Hannah Pate | Massage Therapist | 11430 51st Ave Nw Ste 101a, Gig Harbor, WA 98332-7897 | 2013-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
Find all providers in zip 98332 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639449945 | Donald Richard Rose | Specialist | 3304 E Bay Dr Nw, Gig Harbor, WA 98335-7649 | 2012-01-03 |
1285902866 | Debra Gail Marion | Specialist | 3417 Harborview Dr Fl 3, Gig Harbor, WA 98332-2100 | 2011-12-09 |
1386957314 | Nancy Presser | Specialist | 3509 10th St Nw, Gig Harbor, WA 98335-7856 | 2010-07-19 |
1750613303 | Denise Joy Tremblay | Specialist | 9917 86th Ave Nw, Gig Harbor, WA 98332-6835 | 2010-02-08 |
1093044109 | Stephanie Emiko Mano | Specialist | 6659 Kimball Dr Ste D403, Gig Harbor, WA 98335-5141 | 2009-12-18 |
1447499967 | Janina Dawn Yerex | Specialist | 10811 63rd Avenue Ct Nw, Gig Harbor, WA 98332-8680 | 2009-02-05 |
1659519775 | Hans Albert Quistorff | Specialist | 13414 138th Avenue Kp N, Gig Harbor, WA 98329-5303 | 2009-01-27 |
1124284310 | Diana M Sellers | Specialist | 7512 Stanich Ln Ste 6e, Gig Harbor, WA 98335-5111 | 2008-08-06 |
1760673750 | Kathleen Wynn Salisbury | Specialist | 10517 70th Ave Nw, Gig Harbor, WA 98332-8506 | 2007-08-06 |
1811196108 | Kerry Elizabeth Fitzpatrick | Specialist | 1016 29th St Nw, Gig Harbor, WA 98335-1641 | 2007-07-16 |
Find all providers in GIG HARBOR |
City | GIG HARBOR |
Zip Code | 98332 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.