NPI | 1316147325 |
---|---|
Entity Type | Organization |
Authorized Contact | EVE MARIE HYATT Practice Owner 360-335-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006655) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-20 |