| NPI | 1841628070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARRAH GLENNIE Credentialing Manager 509-342-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA ARNP60386230) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |