Provider Demographics
NPI:1902659188
Name:ASCEND PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:ASCEND PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:ARLIENE
Authorized Official - Last Name:WINFREY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:530-228-4586
Mailing Address - Street 1:18420 209TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-9272
Mailing Address - Country:US
Mailing Address - Phone:530-228-4586
Mailing Address - Fax:
Practice Address - Street 1:211 W HILL ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1460
Practice Address - Country:US
Practice Address - Phone:530-228-4586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty