| NPI | 1174074827 |
|---|---|
| Doing Business As | PROVIDENCE HEALTH EXPRESS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2025-05-05 |