| NPI | 1548096142 |
|---|---|
| Doing Business As | PRIORITY HEALTH NORTHWEST PLLC |
| Entity Type | Organization |
| Authorized Contact | PEYTON R HANTELMAN Co Owner 712-209-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |