Provider Demographics
NPI:1518687540
Name:MYRICK, NORA
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:MYRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 S GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001
Mailing Address - Country:US
Mailing Address - Phone:509-842-7297
Mailing Address - Fax:509-455-4988
Practice Address - Street 1:934 S GARFIELD RD
Practice Address - Street 2:
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001
Practice Address - Country:US
Practice Address - Phone:509-842-7297
Practice Address - Fax:509-455-4988
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator