Provider Demographics
NPI:1053030957
Name:NAMIQUE CREATIONS
Entity type:Organization
Organization Name:NAMIQUE CREATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-452-7283
Mailing Address - Street 1:411 BAKER BLVD UNIT 522
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3095
Mailing Address - Country:US
Mailing Address - Phone:443-452-7283
Mailing Address - Fax:
Practice Address - Street 1:411 BAKER BLVD UNIT 522
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3095
Practice Address - Country:US
Practice Address - Phone:443-452-7283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAMIQUE CREATIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-24
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty