Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0024168505 | VA |
NPI | 1114252335 |
---|---|
Provider Name | Mrs. Elizabeth M Nutter |
First Address | Tacoma, WA 98431-5647 |
Second Address | Tacoma, WA 98431-5647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2009 |
Last Update Date | 03/06/2019 |