Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP60102355 | WA |
NPI | 1063644912 |
---|---|
Provider Name | Jennifer Lee Brown-Ramos |
First Address | Bellevue, WA 98004-3832 |
Second Address | Bellevue, WA 98004-3832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2009 |
Last Update Date | 29/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9663071 | (05) | WA |