Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP60471342 | WA |
N | 363LG0600X | Nurse Practitioner - Gerontology | N360477477 | WA |
N | 363LX0106X | Nurse Practitioner - Occupational Health | N360477477 | WA |
NPI | 1013322114 |
---|---|
Provider Name | Doreen Yumang-Ross |
First Address | Everett, WA 98203-2132 |
Second Address | Everett, WA 98203-2132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2014 |
Last Update Date | 08/01/2021 |