NPI | 1558374884 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGETT BELL KRAFT President 360-582-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005000) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2007-12-06 |