| NPI | 1649979329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE-KIESER MOORE Owner 509-993-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-12-12 |