| NPI | 1831468081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EVANS Owner 509-628-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005529) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |