| NPI | 1538179460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN SHANLEY Owner 509-928-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007025) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-08-12 |