Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP60580654 | WA |
NPI | 1003290529 |
---|---|
Provider Name | Mr. Morgan Mccrea |
First Address | Seattle, WA 98107-3576 |
Second Address | Seattle, WA 98107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2015 |
Last Update Date | 31/07/2018 |