| NPI | 1518778661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TANKERSLEY KALEM Nurse Practitioner 509-289-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |