| NPI | 1033396742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL E. WARNER Psychiatric Nurse Practitioner 360-993-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005946) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200950159NP) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2013-06-27 |