| NPI | 1669720462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEI TYAN A RN P 206-552-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30008000) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |