| NPI | 1225440019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA PURDY A RN P 253-448-3542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60296832) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |