Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NATU.NT.60392617 | WA |
NPI | 1134560717 |
---|---|
Provider Name | Dr. Jennifer Anne Nelson |
First Address | Seattle, WA 98115-5489 |
Second Address | Seattle, WA 98115-5489 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2013 |
Last Update Date | 11/07/2013 |