Provider Demographics
NPI:1720899479
Name:ADVANCED PRACTICE WOUND CARE LLC
Entity type:Organization
Organization Name:ADVANCED PRACTICE WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:509-557-2738
Mailing Address - Street 1:125 GRAPE AVE E
Mailing Address - Street 2:
Mailing Address - City:OMAK
Mailing Address - State:WA
Mailing Address - Zip Code:98841-9371
Mailing Address - Country:US
Mailing Address - Phone:509-557-2738
Mailing Address - Fax:
Practice Address - Street 1:125 GRAPE AVE E
Practice Address - Street 2:
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-9371
Practice Address - Country:US
Practice Address - Phone:509-557-2738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty