Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP60978881 | WA |
NPI | 1003464157 |
---|---|
Provider Name | Emily Katherine Pellegrini |
First Address | Seattle, WA 98101-3257 |
Second Address | Seattle, WA 98104-1132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2019 |
Last Update Date | 02/09/2019 |