Provider Demographics
NPI:1548535255
Name:PRAXIS-HEALTH, PLLC
Entity type:Organization
Organization Name:PRAXIS-HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCHELL
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:SPIELMANN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-565-0130
Mailing Address - Street 1:5408 96TH AVENUE CT W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-1314
Mailing Address - Country:US
Mailing Address - Phone:253-961-7754
Mailing Address - Fax:253-565-0130
Practice Address - Street 1:1546 RESERVATION RD SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-9415
Practice Address - Country:US
Practice Address - Phone:253-565-0130
Practice Address - Fax:253-565-0130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007487364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty