Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP60184982 | WA |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP60184982 | WA |
N | 363LC1500X | Nurse Practitioner - Community Health | AP60184982 | WA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP60184982 | WA |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP60184982 | WA |
NPI | 1376852350 |
---|---|
Provider Name | Lovely Paul |
First Address | Renton, WA 98057-4970 |
Second Address | Kent, WA 98032-4537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2010 |
Last Update Date | 01/09/2020 |