NPI | 1598272155 |
---|---|
Entity Type | Organization |
Authorized Contact | KARLA CHANEY BALLEW CEO/Medical Director 425-405-8089 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LG0600X Nurse Practitioner, Gerontology | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2018-01-04 |
Last Update Date | 2021-10-22 |