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