| NPI | 1912362997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE NELSON-HAMRE Credentialing Contact 206-320-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60617874) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |