Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP60997746 | WA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP60997746 | WA |
NPI | 1013537174 |
---|---|
Provider Name | Danielle Mary Klein |
First Address | Seattle, WA 98116-4696 |
Second Address | Seattle, WA 98108-1532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2020 |
Last Update Date | 19/04/2020 |