NPI | 1972819175 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary Enrollment 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 163W00000X Registered Nurse |
261QH0100X Clinic/Center, Health Services | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2010-08-25 |
Last Update Date | 2018-01-11 |