Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP61035317 | WA |
NPI | 1205340304 |
---|---|
Provider Name | Dr. Joanna Marie Mclaughlin |
First Address | Seattle, WA 98195-0001 |
Second Address | Seattle, WA 98195-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2017 |
Last Update Date | 11/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205340304 | (05) | WA |