NPI | 1225566417 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT LEE WADSWORTH A RN P 425-222-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60720812) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2019-08-02 |