Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP60427847 | WA |
NPI | 1033547021 |
---|---|
Provider Name | Christine Horton |
First Address | Belfair, WA 98528-9293 |
Second Address | Tacoma, WA 98405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2013 |
Last Update Date | 20/11/2013 |