Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP60594742 | WA |
NPI | 1023486248 |
---|---|
Provider Name | Olivia Uhart |
First Address | Federal Way, WA 98003-6252 |
Second Address | Federal Way, WA 98003-6252 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2015 |
Last Update Date | 03/09/2015 |