| NPI | 1043348006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA FAYE DEE HIATT Owner Practioner 253-631-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30004647) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-05-04 |