| NPI | 1982789954 |
|---|---|
| Doing Business As | PROVIDENCE NICU |
| Entity Type | Organization |
| Authorized Contact | JOYCE KOBAYASHI Dir Revenue Cycle Mgmt Nwsa 425-317-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-09-21 |