Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | MYERSAA440P3 | WA |
NPI | 1023231206 |
---|---|
Provider Name | Abigail A Myers |
First Address | Seattle, WA 98105-2262 |
Second Address | Seattle, WA 98105-2262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |