Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP60325579 | WA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP60325579 | WA |
Y | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | AP60325579 | WA |
NPI | 1033547997 |
---|---|
Provider Name | Mrs. Christi Ann Lance |
First Address | Seattle, WA 98109-3190 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2013 |
Last Update Date | 17/02/2016 |