AUDREY L CAVINS-EZELL

TUKWILA, WA
NPI1154899805
Former NameAUDREY CAVINS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA  AP61025837)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KY  3012865)
Enumeration Date2018-11-10
Last Update Date2024-04-19
Business Address
AUDREY L CAVINS-EZELL APRN
16000 CHRISTENSEN RD STE 200
TUKWILA, WA 98188-2925
Phone number: 833-719-0886
Mailing Address
AUDREY L CAVINS-EZELL APRN
PO BOX 257
OLYMPIA, WA 98507-0257
Phone number: