Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 61111082 | WA |
NPI | 1083293021 |
---|---|
Provider Name | Dr. Meryl Leann Mcbride |
First Address | Seattle, WA 98115-4703 |
Second Address | Seattle, WA 98115-4703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2021 |
Last Update Date | 06/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
61111082 | NATUROPATHIC PHYSICIAN LICENSE (01) | WA |