| NPI | 1124907407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PAULY Payor Relationship Manager 425-640-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |