Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP30005333 | WA |
NPI | 1013967975 |
---|---|
Provider Name | Diane L. Britt |
First Address | Seattle, WA 98124-0366 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 23/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0155905 | LABOR & INDUSTRY (01) | WA |
9633041 | (05) | WA |
P04227 | (02) | WA |
U03567 | REGENCE BLUESHIELD (01) | WA |