Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | OP60555119 | WA |
NPI | 1003009796 |
---|---|
Provider Name | Dr. Holly Anne Nelson |
First Address | Kirkland, WA 98034 |
Second Address | Kirkland, WA 98034-3013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2007 |
Last Update Date | 05/01/2016 |