Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 61091874 | WA |
Y | 175F00000X | Naturopath | ||
N | 175F00000X | Naturopath | 60807235 | WA |
NPI | 1124538962 |
---|---|
Provider Name | Andrea L Emde |
First Address | Kirkland, WA 98033-8571 |
Second Address | Kirkland, WA 98033-8571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2017 |
Last Update Date | 24/09/2020 |