| NPI | 1093097438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE MARIE WIEGERT Owner 206-920-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP6013222) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |