| NPI | 1013232990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W THURSTON Psychiatrict Nurse Practitioner 253-983-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP 30002150) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2011-09-14 |