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Washington State University
Psychiatric/Mental Health Nurse Practitioner in Spokane, Washington
NPI 1487671194

Washington State University is a Psychiatric/Mental Health Nurse Practitioner based in Spokane, WA and is specialized in Psychiatric/Mental Health. Washington State University practices in Spokane, WA. The NPI Number for Washington State University is 1487671194 and holds a License No. (Washington).

The current practice location address for Washington State University is 829 W Broadway Ave, Spokane, WA and can be reached out via phone at 509-755-7624.

Location: 829 W Broadway Ave, Spokane, WA, 99201-2117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487671194
Provider Name
Washington State University
Credential
Provider Entity Type
Organization
Address
829 W Broadway Ave, Spokane, WA, 99201-2117
Phone Number
509-755-7624
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9628702 05 WA
institution
Provider Business Practice Location Address Details
Address
829 W Broadway Ave
City
Spokane
State
Washington
Zip
99201-2117
Phone Number
509-755-7624
Fax Number
person
Provider Business Mailing Address Details
Address
829 W Broadway Ave
City
Spokane
State
Washington
Zip
99201-2117
Phone Number
509-755-7624
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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