MIA ROSE WURTZ


Address: 111 S 44th St, Bellingham, WA 98229-2865
Phone: 2532416805

MIA ROSE WURTZ (NPI# 1881044550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881044550
Entity Type Individual
Full Name MIA ROSE WURTZ
Other Name MIA ROSE DYDEK
Practice Address 111 S 44th St
Bellingham
WA 98229-2865
Practice Telephone 2532416805
Mailing Telephone 2532416805
Enumeration Date 2016-06-14
Last Update Date 2016-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist IR60413879 WA Pharmacy Service Providers

Office Location

Street Address 111 S 44TH ST
City BELLINGHAM
State WA
Zip Code 98229-2865

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1629504006 Kory Scott Nurse's Aide 540 40th St., Bellingham, WA 98229 2017-05-04
1821541509 Bonnie P Hall Social Worker 1812 Silver Beach Road, Bellingham, WA 98229 2016-07-28
1730504606 Janice L Beaudin Registered Nurse 1417 Roy Rd., Bellingham, WA 98229 2014-02-28
1912320672 Regina Walls Behavioral Analyst 3800 Bryon Avenue, Unit 10b, Bellingham, WA 98229 2014-01-30
1982912911 Tasneem Sheikh Acupuncturist 1313 Lincoln St., Suite 3, Bellingham, WA 98229 2010-09-24
1164739827 Sarah Bulger Counselor 1344 King St Ste 203, Bellingham, WA 98229 2010-09-01
1053627661 Micah June Brown Occupational Therapy Assistant 1503 Lincoln St, #103, Bellingham, WA 98229 2010-08-20
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710454913 Shane Humason Pharmacist 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 2018-10-26
1639621816 Sojeong Jeong Pharmacist 192 E Kellogg Rd, Apt J8, Bellingham, WA 98226-8148 2016-11-03
1235590233 Ingrid Lee Pharmacist 134 Prince Ave, Bellingham, WA 98226-6703 2016-03-17
1356715528 Saad Howlader Pharmacist 200 E Maple St Apt 506, Bellingham, WA 98225-5172 2015-11-25
1679980460 Wendy Hinchcliff Pharmacist 3645 East Mcleod Road, Suite P-1, Bellingham, WA 98226 2014-07-14
1053724443 Dale Harts Pharmacist 2228 Xenia St, Bellingham, WA 98229-3856 2014-06-04
1093127524 Sharon Russo Pharmacist 3150 Orleans Street Box 28904, Bellingham, WA 98228 2014-06-02
1972927614 Kelly Ruiz Pharmacist 2979 Squalicum Parkway Suite 101, Bellingham, WA 98225 2014-02-18
1861826331 Elizabeth Mary Jacob Pharmacist 1 Wrentham St, Bellingham, MA 02019-2532 2013-09-02
1467705897 Tingting Sun Pharmacist 4090 Meridian St, Bellingham, WA 98226-5517 2012-10-23
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Competitor

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City BELLINGHAM
Zip Code 98229

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Dataset Information

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.

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