| NPI | 1801513320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS EMMILIE PRINCE Owner/Nurse Practitioner 360-229-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-12-23 |