Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP 60570405 | WA |
NPI | 1023499951 |
---|---|
Provider Name | Cole Brower |
First Address | Seattle, WA 98121-1431 |
Second Address | Seattle, WA 98144-4539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2015 |
Last Update Date | 21/01/2022 |