| NPI | 1457625659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JOHNSON Owner 509-735-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LX0106X Nurse Practitioner Occupational Health | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2025-01-28 |