Basic Information
| Provider Information | |||||||||
| NPI: | 1114079357 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NUESCA | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | RAMOS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 LENORA ST APT 703 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981212749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063954714 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9710 STATE AVE | ||||||||
| Address2: | |||||||||
| City: | MARYSVILLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982702232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606531742 | ||||||||
| FaxNumber: | 3606532099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 03/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00045489 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A87149 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8438970 | 05 | WA | MEDICAID |