| NPI | 1003386871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GOODWIN Owner 509-389-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-06-14 |