Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP8520 | CA |
NPI | 1023217288 |
---|---|
Provider Name | Ms. Patricia Ann Hussey |
First Address | Pasco, WA 99301 |
Second Address | Pasco, WA 99301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 08/08/2016 |