| NPI | 1083932396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY J CLEVELAND Credentialing Manager 509-774-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60081731) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2025-05-07 |