Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW61229551 | WA |
NPI | 1013304047 |
---|---|
Provider Name | Emily Coates |
First Address | Tacoma, WA 98405-3625 |
Second Address | Tacoma, WA 98405-3625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2015 |
Last Update Date | 11/12/2021 |