| NPI | 1619306065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN NOONAN A RN P 206-452-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP3007939) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |