Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP60810824 | WA |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP60810824 | WA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 201811368NP-PP | OR |
NPI | 1447702428 |
---|---|
Provider Name | Andrea Purtzer |
First Address | Seattle, WA 98145-5095 |
Second Address | Bend, OR 97701-6015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2016 |
Last Update Date | 20/07/2020 |