MS. AUDREY JEAN CHURCH


Address: 2344 Ne Marion Ln, Issaquah, WA 98029-3661
Phone: 2067789737

MS. AUDREY JEAN CHURCH (NPI# 1972683571) 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) 1972683571
Entity Type Individual
Full Name MS. AUDREY JEAN CHURCH
Other Name AUDREY JEAN LAXTON
Credential ARNP
Practice Address 2344 Ne Marion Ln
Issaquah
WA 98029-3661
Practice Telephone 2067789737
Practice Fax Number 4253917014
Mailing Telephone 2067789737
Enumeration Date 2006-10-17
Last Update Date 2020-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP30004413 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 9625377 05

Other Providers AUDREY CHURCH

NPI Name Taxonomy Address Enumeration
1730546425 Audrey Jo Church I Case Manager/Care Coordinator 209 W Broadway St, Okemah, OK 74859-2618 2016-01-26

Office Location

Street Address 2344 NE MARION LN
City ISSAQUAH
State WA
Zip Code 98029-3661

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134730161 Katelyn Creech Counselor 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 2020-08-13
1326695438 M Shoaib Haider Siddiqui Dentist Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 2019-08-22
1053885061 Rose Osborne Registered Nurse 4580 Klahanie Dr Se #181, Sammamish, WA 98029 2019-01-14
1598260960 Caryn Crosbie Behavior Technician 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 2018-03-28
1194110908 May Y. Mar Family Medicine 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 2015-03-30
1659765816 Eastside Social Skills Therapy LLC Preferred Provider Organization 5436 232nd Ave Se, Issaquah, WA 98029 2015-03-26
1649513946 Linda Scoppettone Knodel Registered Nurse 5303 231 Ave. Se, Issaquah, WA 98029 2013-04-04
1720323116 Morley Slutsky Preventive Medicine 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 2012-12-11
1619248820 Silas Dickenson Dudley Dentist 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 2012-01-19
1659641678 Cynthia J Creel Technician/Technologist 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 2012-01-06
Find all providers in zip 98029

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174140677 Rachael Davison Nurse Practitioner 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 2020-06-30
1568941706 Jeanne Nicholson Wadsworth Nurse Practitioner 310 3rd Ave Ne Ste 105, Issaquah, WA 98027-3345 2018-08-08
1649727249 Brett Lee Wadsworth Nurse Practitioner 6520 226th Pl Se Ste 203, Issaquah, WA 98027-8969 2016-09-01
1225566417 Wadsworth Psychiatric Services Pllc Nurse Practitioner 6520 226th Pl Se Ste 203, Issaquah, WA 98027-8969 2017-06-01
1467624049 Saskia E Vonmichalofski Nurse Practitioner 5837 221st Pl Se, Issaquah, WA 98027-8917 2008-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134720139 Youwen Hu Nurse Practitioner 10824 Se 170th St Unit A304, Renton, WA 98055-5950 2020-11-05
1831799048 Sarah Louise Weerheim Nurse Practitioner 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 2020-10-27
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1437761988 Hollye Hahn Nurse Practitioner 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 2020-08-17
1386254290 Candie M. Wellwood Nurse Practitioner 9908 S Sherman Rd, Spokane, WA 99224-9811 2020-08-05
1104434679 Progressive Psychiatric Consultant Nurse Practitioner 170 S Lincoln St # 150, Spokane, WA 99201-4443 2020-07-21
1235747213 Peaceful Coexistence, LLC Nurse Practitioner 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 2020-07-16
1134747066 New Dawn Psychotherapy Pllc Nurse Practitioner 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 2020-07-07
1376160861 Clarity Behavioral Health Nurse Practitioner 7704 193rd Pl Sw, Edmonds, WA 98026-6234 2020-06-30
1326668856 Healing Heart Therapeutic Services Nurse Practitioner 1915 2nd Ave Apt 2212, Seattle, WA 98101-3165 2020-04-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City ISSAQUAH
Zip Code 98029

Improve Information

Please comment or provide details below to improve the information on MS. AUDREY JEAN CHURCH.

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.

Trending Searches