Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP61145794 | WA |
NPI | 1023566015 |
---|---|
Provider Name | Caitlin Margitan |
First Address | Burien, WA 98166-1214 |
Second Address | Burien, WA 98166-1214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2016 |
Last Update Date | 26/06/2021 |