Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | AP60927305 | WA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | N360932524 | WA |
NPI | 1295291755 |
---|---|
Provider Name | Brandy Nicole Galloway |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2019 |
Last Update Date | 12/03/2019 |