| NPI | 1003067182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MT HAN1-0433-7045) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2025-05-06 |