Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NT60824643 | WA |
Y | 363L00000X | Nurse Practitioner | AP60776015 | WA |
NPI | 1053487355 |
---|---|
Provider Name | Dr. Julie Anne Chinnock |
First Address | Kirkland, WA 98034-3908 |
Second Address | Seattle, WA 98103-8721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 03/12/2021 |