Provider Demographics
NPI:1104085315
Name:NURTURING HEALTH ACUPUNCTURE LLC
Entity type:Organization
Organization Name:NURTURING HEALTH ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:E
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:360-696-4480
Mailing Address - Street 1:316 E FOURTH PLAIN BLVD
Mailing Address - Street 2:STE. A4
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3074
Mailing Address - Country:US
Mailing Address - Phone:360-696-4480
Mailing Address - Fax:360-696-8836
Practice Address - Street 1:316 E FOURTH PLAIN BLVD
Practice Address - Street 2:STE. A4
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3074
Practice Address - Country:US
Practice Address - Phone:360-696-4480
Practice Address - Fax:360-696-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty