| NPI | 1871162016 |
|---|---|
| Doing Business As | MYNP.CLINIC |
| Entity Type | Organization |
| Authorized Contact | LARRY D MALONE Nurse Practitioner/Owner 206-659-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |