Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 32118 | NE |
NPI | 1023510096 |
---|---|
Provider Name | Emily Parsons |
First Address | Tacoma, WA 98431-1000 |
Second Address | Tacoma, WA 98431-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2018 |
Last Update Date | 11/03/2021 |