Provider Demographics
NPI:1124066675
Name:PARKVIEW FIRST ASSISTING, LLC
Entity type:Organization
Organization Name:PARKVIEW FIRST ASSISTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED REGISTERED NURSE FIRST AS
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:MINISH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CNOR, CRNFA
Authorized Official - Phone:360-531-0951
Mailing Address - Street 1:PO BOX 2063
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-0239
Mailing Address - Country:US
Mailing Address - Phone:360-531-0951
Mailing Address - Fax:360-437-9162
Practice Address - Street 1:2520 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4229
Practice Address - Country:US
Practice Address - Phone:360-531-0951
Practice Address - Fax:360-437-9162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty