| NPI | 1134160583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA C. PHILLIPS Nurse Practitioner 360-915-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP3002105) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP3002105) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-09-06 |