Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP61109183 | WA |
NPI | 1184236143 |
---|---|
Provider Name | Jennifer J. Crew |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2020 |
Last Update Date | 02/02/2021 |