| NPI | 1427776319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CARPENTER Owner 509-758-9524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-07-18 |