Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND658 | CA |
Y | 175F00000X | Naturopath | NT60651434 | WA |
NPI | 1033578372 |
---|---|
Provider Name | Dr. Amy Elizabeth Fitzpatrick |
First Address | Bothell, WA 98012-4752 |
Second Address | Bothell, WA 98012-4752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2016 |
Last Update Date | 02/10/2018 |