| NPI | 1528241007 |
|---|---|
| Other Name | 5TH AVENUE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | KRISTY NEEDHAM CEO 509-547-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2024-01-11 |